Individual provider Active NPI

Natalie Valdez, DDS

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1609452390
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105967 Issued in CA
Practice address
12420 Day St Ste B4
Moreno Valley, CA 92553-7536
Phone
(951) 656-6538
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 105967 CA Primary

Addresses

Primary practice location

12420 Day St Ste B4
Moreno Valley, CA 92553-7536

Mailing address

2188 N Buckingham Way
Upland, CA 91784-1460
Phone (909) 921-3472

Other practice location 1

12636 Limonite Ave Ste 1A&1B
Eastvale, CA 92880-4200
Phone (951) 808-4323

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
105967CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Moore Dental Corporation PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1609452390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 N BUCKINGHAM WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841460",
            "telephone_number": "909-921-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 DAY ST STE B4",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537536",
            "telephone_number": "951-656-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12636 Limonite Ave Ste 1A&1B",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "928804200",
            "country_code": "US",
            "telephone_number": "951-808-4323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "NATALIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-01-15",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.