Active NPI
Maria Salve Bueno, DMD
- Dentist
- Riverside, CA
National Provider Identifier
1609996107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38792
- Practice address
- 1970 University Ave
Riverside, CA 92507-5202 - Phone
- (951) 276-0668
- Fax
- (951) 276-9578
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38792 | CA | Primary |
Addresses
Primary practice location
1970 University Ave
Riverside, CA 92507-5202
Mailing address
1970 University Ave
Riverside, CA 92507-5202
Phone (951) 276-0668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G98054-02 | Other | CA | DELTA DENTAL |
| FHC70865F | Other | CA | MEDICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38792 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609996107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 UNIVERSITY AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075202",
"telephone_number": "951-276-0668",
"fax_number": "951-276-9578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 UNIVERSITY AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075202",
"telephone_number": "951-276-0668",
"fax_number": "951-276-9578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENO",
"first_name": "MARIA",
"middle_name": "SALVE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "G98054-02",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "FHC70865F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.