Active NPI
Francisco D Fores DMD
- General Practice Dentistry
- Redlands, CA
National Provider Identifier
1710501846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FRANCISCO D FORES DMD
- Practice address
- 414 Tennessee St Ste K1
Redlands, CA 92373-8152 - Phone
- (661) 917-0507
- NPI assigned
- Jun 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Braganza
- Title
- Credentialing and Billing Manager
- Phone
- (562) 341-4786
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Prosthodontics | 1223P0700X |
Addresses
Primary practice location
414 Tennessee St Ste K1
Redlands, CA 92373-8152
Mailing address
414 Tennessee St Ste K1
Redlands, CA 92373-8152
Phone (661) 917-0507
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591228800000",
"number": "1710501846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 TENNESSEE ST STE K1",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738152",
"telephone_number": "661-917-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 TENNESSEE ST STE K1",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923738152",
"telephone_number": "661-917-0507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCO D FORES DMD",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A",
"authorized_official_last_name": "BRAGANZA",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "CREDENTIALING AND BILLING MANAGER",
"authorized_official_telephone_number": "562-341-4786"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.