NPIMap

Organization Active NPI

Echarte, Fernandez Professional Dental Corporation

  • Dentist
  • La Puente, CA
National Provider Identifier
1669870341
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52379 Issued in CA
Legal business name
ECHARTE, FERNANDEZ PROFESSIONAL DENTAL CORPORATION
Practice address
1150 N Hacienda Blvd
La Puente, CA 91744-2023
Phone
(626) 350-7088
Fax
(626) 350-8850
NPI assigned
Dec 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Dr. Gonazalo Echarte, DDS
Title
President
Phone
(626) 350-7087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52379 CA Primary

Addresses

Primary practice location

1150 N Hacienda Blvd
La Puente, CA 91744-2023

Mailing address

1150 N Hacienda Blvd
La Puente, CA 91744-2023
Phone (626) 350-7088

National Provider Directory

National Provider Directory
Tax ID family
Echarte Fernandez Professional Dental Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1669870341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442023",
            "telephone_number": "626-350-7088",
            "fax_number": "626-350-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N HACIENDA BLVD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917442023",
            "telephone_number": "626-350-7088",
            "fax_number": "626-350-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHARTE, FERNANDEZ PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "ECHARTE",
        "authorized_official_first_name": "GONAZALO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-350-7087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.