NPIMap

Organization Active NPI

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

Doing business as Real Dentistry

  • Dental Clinic/Center
  • Fullerton, CA
National Provider Identifier
1700926516
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48359 Issued in CA
Legal business name
HERCULES JOEL REAL, D.M.D., INC.
Doing business as
Real Dentistry
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
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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.NPI 1427052778
Title
President
Phone
(714) 525-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 48359 CA Primary

Addresses

Primary practice location

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

Mailing address

1235 N. Harbor Blvd.
Suite 100
Fullerton, CA 92832-1323
Phone (714) 525-2888

Other names 1

  • Real Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • 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.