NPIMap

Organization Active NPI

Oscar a. Gochez DDS a Professional Dental Corp.

  • General Practice Dentistry
  • Chino, CA
National Provider Identifier
1679693162
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35109 Issued in CA
Legal business name
OSCAR A. GOCHEZ DDS A PROFESSIONAL DENTAL CORP.
Practice address
12716 S Central Ave
Chino, CA 91710
Phone
(909) 628-5133
Fax
(909) 628-2938
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Oscar GochezNPI 1407085749
Title
DDS
Phone
(909) 628-5133

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 35109 CA Primary

Addresses

Primary practice location

12716 S Central Ave
Chino, CA 91710

Mailing address

12716 S Central Ave
Chino, CA 91710
Phone (909) 628-5133

Other names 1

  • Hope Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hope Family Dentistry2 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

12716 Central Ave
Chino, CA 91710
Phone (909) 628-5133

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1679693162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12716 S CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-628-5133",
            "fax_number": "909-628-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12716 S CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-628-5133",
            "fax_number": "909-628-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR A. GOCHEZ DDS A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "GOCHEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "909-628-5133"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.