NPIMap

Organization Active NPI

Procare Dental

  • General Practice Dentistry
  • Barstow, CA
National Provider Identifier
1578769105
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50993 Issued in CA
Legal business name
PROCARE DENTAL
Practice address
1232 E Main St
Barstow, CA 92311-2409
Phone
(760) 256-1189
Fax
(760) 256-1427
NPI assigned
Jun 21, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Joey S. Tirador, DDSNPI 1356565923
Title
President/Ceo
Phone
(760) 256-1189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 50993 CA Primary

Addresses

Primary practice location

1232 E Main St
Barstow, CA 92311-2409

Mailing address

1232 E Main St
Barstow, CA 92311-2409
Phone (760) 256-1189

National Provider Directory

National Provider Directory
Tax ID family
Joey S Tirador DDS Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1578769105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112409",
            "telephone_number": "760-256-1189",
            "fax_number": "760-256-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112409",
            "telephone_number": "760-256-1189",
            "fax_number": "760-256-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TIRADOR",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-256-1189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.