Individual provider Active NPI

Harriet Haritakis Hajjar, D.D.S.

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1700907003
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30550 Issued in CA
Practice address
9000 Foothill Blvd Ste 114
Rancho Cucamonga, CA 91730-3457
Phone
(909) 980-7888
Fax
(909) 989-9964
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30550 CA Primary

Addresses

Primary practice location

9000 Foothill Blvd Ste 114
Rancho Cucamonga, CA 91730-3457

Mailing address

9000 Foothill Blvd Ste 114
Rancho Cucamonga, CA 91730-3457
Phone (909) 980-7888

Other names 1

  • Harriet Haritakis Hajjar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30550CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
George P & Harriet H Hajjar Family Dentistry (a Ca General Partnership CurrentSince Feb 15, 2013 Accepting new patients

Locations

9000 Foothill Blvd
Ste 114
Rancho Cucamonga, CA 91730
Phone (909) 980-7888

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1700907003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FOOTHILL BLVD STE 114",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303457",
            "telephone_number": "909-980-7888",
            "fax_number": "909-989-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FOOTHILL BLVD STE 114",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303457",
            "telephone_number": "909-980-7888",
            "fax_number": "909-989-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJJAR",
        "first_name": "HARRIET",
        "middle_name": "HARITAKIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRIET",
            "last_name": "HAJJAR",
            "middle_name": "HARITAKIS",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.