Organization Active NPI

Delivering Smiles Dental Hygiene Practice of Jacqueline Gonzalez Quiro

  • Dental Hygienist
  • West Covina, CA
National Provider Identifier
1609629666
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
DELIVERING SMILES DENTAL HYGIENE PRACTICE OF JACQUELINE GONZALEZ QUIRO
Practice address
1050 Lakes Dr Ste 225
West Covina, CA 91790-2910
Phone
(626) 804-3639
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Jacqueline Gonzalez-QuirozNPI 1902487796
Title
Rdhap
Phone
(626) 804-3639

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 HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

1050 Lakes Dr Ste 225
West Covina, CA 91790-2910

Mailing address

1050 Lakes Dr Ste 225
West Covina, CA 91790-2910
Phone (626) 804-3639

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": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1609629666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 225",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902910",
            "telephone_number": "626-804-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 225",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902910",
            "telephone_number": "626-804-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERING SMILES DENTAL HYGIENE PRACTICE OF JACQUELINE GONZALEZ QUIRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-QUIROZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "RDHAP",
        "authorized_official_telephone_number": "626-804-3639"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.