Organization Active NPI

Fresh Smiles Erica Macias Dental Hygiene Practice

  • Dental Clinic/Center
  • Perris, CA
National Provider Identifier
1609611615
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FRESH SMILES ERICA MACIAS DENTAL HYGIENE PRACTICE
Practice address
997 Whispering Wood LN
Perris, CA 92571-9420
Phone
(951) 500-3222
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Blanca Erica MaciasNPI 1780369884
Title
Rhhap
Phone
(951) 500-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

997 Whispering Wood LN
Perris, CA 92571-9420

Mailing address

997 Whispering Wood LN
Perris, CA 92571-9420
Phone (951) 500-3222

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1609611615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 WHISPERING WOOD LN",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925719420",
            "telephone_number": "951-500-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 WHISPERING WOOD LN",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925719420",
            "telephone_number": "951-500-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH SMILES ERICA MACIAS DENTAL HYGIENE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "RHHAP",
        "authorized_official_telephone_number": "951-500-3222"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.