Hercules Joel Real, D.M.D., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

48359 Issued in CA

Legal business name

HERCULES JOEL REAL, D.M.D., INC.

Practice address

1235 N Harbor Blvd
Suite 100
Fullerton, CA 92832-1355

Phone

(714) 525-2888

Fax

(714) 525-2123

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hercules J. Real, D.M.D.

Title

President

Phone

(714) 525-2888

Specialties & licenses 1

Addresses

Other names 1

• Real Dentistry Doing business as

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1700926516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N. HARBOR BLVD.",
            "address_2": "SUITE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321323",
            "telephone_number": "714-525-2888",
            "fax_number": "714-525-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N HARBOR BLVD",
            "address_2": "SUITE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321355",
            "telephone_number": "714-525-2888",
            "fax_number": "714-525-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERCULES JOEL REAL, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "REAL",
        "authorized_official_first_name": "HERCULES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-525-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason A Henry
• Rebecca Henry
• Carlie McKeehan Hensley
• Sukena Raquel Henson
• Tammy Heo, BCBA
• Nora Edith Heredia
• Heritage Rides Inc.
• Rosalba Hermosillo
• Itzamany Hernandez Jauregui
• Norma Hernandez-Ramirez

• Dental Clinic/Center in Fullerton, CA
• Providers in Fullerton, 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 Mar 6, 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.