NPIMap

Organization Active NPI

Hareesh Dental Corporation

  • Dentist
  • Perris, CA
National Provider Identifier
1619385358
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HAREESH DENTAL CORPORATION
Practice address
391 Wilkerson Ave Ste a&B
Perris, CA 92570-2254
Phone
(951) 943-4007
Fax
(951) 943-1037
NPI assigned
Jul 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Dr. Hareesh Veerabhadraiah, DDSNPI 1831238609
Title
President
Phone
(951) 943-4007

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

391 Wilkerson Ave Ste a&B
Perris, CA 92570-2254

Mailing address

391 Wilkerson Ave Ste a&B
Perris, CA 92570-2254
Phone (951) 943-4007

Other names 1

  • perris family dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hareesh Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

391 Wilkerson Ave
Ste Ab
Perris, CA 92570
Phone (951) 943-4007

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": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1619385358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 WILKERSON AVE STE A&B",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702254",
            "telephone_number": "951-943-4007",
            "fax_number": "951-943-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WILKERSON AVE STE A&B",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702254",
            "telephone_number": "951-943-4007",
            "fax_number": "951-943-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAREESH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "VEERABHADRAIAH",
        "authorized_official_first_name": "HAREESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-943-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "perris family dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "perris family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 2021; 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.