Organization Active NPI

Esparza Dentistry

Doing business as Blanca M. Esparza D.D.S.

  • Dentist
  • Ontario, CA
National Provider Identifier
1578827648
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ESPARZA DENTISTRY
Doing business as
Blanca M. Esparza D.D.S.
Practice address
213 W G Street
Ontario, CA 91762-3227
Phone
(909) 986-6180
Fax
(909) 984-9479
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Oscar B Esparza, DDSNPI 1972576130
Title
President
Phone
(909) 986-6180

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

213 W G Street
Ontario, CA 91762-3227

Mailing address

213 W G Street
Ontario, CA 91762-3227
Phone (909) 986-6180

Other identifiers 2

IdentifierTypeStateIssuer
D45252MedicaidCA
B41648-01MedicaidCA

Other names 1

  • BLANCA M. ESPARZA D.D.S. Doing business as

National Provider Directory

National Provider Directory

Locations

527 N Palm Ave
Ste 106
Ontario, CA 91762
Phone (909) 984-3618

786 E Foothill Blvd
Ste D
Rialto, CA 92376
Phone (909) 874-7870

Practitioners & affiliated clinicians

Practitioners 5

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": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1578827648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W G STREET",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623227",
            "telephone_number": "909-986-6180",
            "fax_number": "909-984-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W G STREET",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623227",
            "telephone_number": "909-986-6180",
            "fax_number": "909-984-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPARZA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-986-6180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D45252",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B41648-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLANCA M. ESPARZA D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLANCA M. ESPARZA D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.