NPIMap

Organization Active NPI

Yahya Jaber Dental Corp

  • Dental Clinic/Center
  • Moreno Valley, CA
National Provider Identifier
1629213657
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YAHYA JABER DENTAL CORP
Practice address
12190 Perris Blvd Ste D
Moreno Valley, CA 92557-7422
Phone
(951) 486-0550
Fax
(951) 486-0566
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Yahya Sulieman Jaber, DDSNPI 1427113927
Title
Doctor
Phone
(951) 486-0550

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

12190 Perris Blvd Ste D
Moreno Valley, CA 92557-7422

Mailing address

12190 Perris Blvd Ste D
Moreno Valley, CA 92557-7422
Phone (951) 486-0550

Other identifiers 5

IdentifierTypeStateIssuer
275395OtherCAUNITED CONCORDIA
31785OtherCASAFEHEALTH LIFE INSURANCE COMPANY
B44184-01OtherCADELTA DENTAL HEALTHY FAMILIES
B44189-01OtherCADENTICAL
2058225OtherCABLUE CROSS BLUE SHIELD OF TENNESSEE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1629213657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12190 PERRIS BLVD STE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577422",
            "telephone_number": "951-486-0550",
            "fax_number": "951-486-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12190 PERRIS BLVD STE D",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577422",
            "telephone_number": "951-486-0550",
            "fax_number": "951-486-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHYA JABER DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "JABER",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_middle_name": "SULIEMAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "951-486-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "275395",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEHEALTH LIFE INSURANCE COMPANY",
            "identifier": "31785",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL HEALTHY FAMILIES",
            "identifier": "B44184-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B44189-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "2058225",
            "state": "CA"
        }
    ],
    "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 Dec 4, 2008; 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.