Individual provider Active NPI

Cecille Ho, DMD

  • General Practice Dentistry
  • Montclair, CA
National Provider Identifier
1568682003
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53706 Issued in CA
Practice address
5153 Holt Blvd
A2
Montclair, CA 91763-4820
Phone
(909) 625-6545
Fax
(909) 625-6544
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53706 CA Primary

Addresses

Primary practice location

5153 Holt Blvd
A2
Montclair, CA 91763-4820

Mailing address

5153 Holt Blvd Ste A2
Montclair, CA 91763-4837
Phone (909) 625-6545

Other practice location 1

5153 Holt Blvd
A2
Montclair, CA 91763-4820
Phone (909) 625-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53706CAMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1568682003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 HOLT BLVD STE A2",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634837",
            "telephone_number": "909-625-6545",
            "fax_number": "909-992-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 HOLT BLVD",
            "address_2": "A2",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634820",
            "telephone_number": "909-625-6545",
            "fax_number": "909-625-6544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5153 Holt Blvd",
            "address_2": "A2",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917634820",
            "country_code": "US",
            "telephone_number": "909-625-6545",
            "fax_number": "909-992-3596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "CECILLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-06-09",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.