Puresmiledentalhygienepracticeofminervaherediardhap

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PURESMILEDENTALHYGIENEPRACTICEOFMINERVAHEREDIARDHAP

Practice address

3580 Sunnyside Dr
Yorba Linda, CA 92886-6919

Phone

(714) 742-6812

NPI assigned

Jun 29, 2024

Organization subpart

No

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

Authorized official

Name

Minerva Leticia Heredia, RDHNPI 1568163319

Title

Rdhap

Phone

(714) 742-6812

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minerva Leticia Heredia

  • Dental Hygienist
  • Santa Ana, CA
  • NPI 1568163319
  NPD Authorized official

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1639914740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9403",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928127403",
            "telephone_number": "714-742-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 SUNNYSIDE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866919",
            "telephone_number": "714-742-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURESMILEDENTALHYGIENEPRACTICEOFMINERVAHEREDIARDHAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "HEREDIA",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_middle_name": "LETICIA",
        "authorized_official_title_or_position": "RDHAP",
        "authorized_official_telephone_number": "714-742-6812",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Vern Privette, MFT
• Lauren Proano
• Joanna Marie Pasion Prudhomme, NP
• PSB Homes, Inc
• Jennie Hope Pullen, AMFT
• Taylor Pyle, LPCC, LMFT
• Guotian Quan
• Nini P Quintana, RPH
• R.a.C. Yorba Linda, LP
• Elijah Daniel Ragasa

• Dental Clinic/Center in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.