Individual provider Active NPI

Isabella Piedra, DDS

  • Pediatric Dentistry
  • Palm Springs, CA
National Provider Identifier
1720154370
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
47307 Issued in CA
Practice address
490 S Farrell Dr Ste C101
Palm Springs, CA 92262-7962
Phone
(760) 320-7621
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 47307 CA Primary

Addresses

Primary practice location

490 S Farrell Dr Ste C101
Palm Springs, CA 92262-7962

Mailing address

920 Melbury CT
Redlands, CA 92373-6322
Phone (909) 499-9093

Other practice location 1

4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642

Other practice location 2

920 Melbury Ct
Redlands, CA 92373-6322
Phone (909) 499-9093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161216000166 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4587944186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Piedra Professional Dental Corporation Pediatric Dentistry CurrentSince Apr 1, 2020 Accepting new patients
Childrens Dentistry of Rancho Cucamonga Pediatric Dentistry PastSince Apr 21, 2024 Accepting new patients

Locations

490 S Farrell Dr
Ste C101
Palm Springs, CA 92262
Phone (760) 320-7621

9469 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 483-6851

Organizations & group practices 2

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1720154370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MELBURY CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736322",
            "telephone_number": "909-499-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S FARRELL DR STE C101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627962",
            "telephone_number": "760-320-7621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4371 Latham St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011706",
            "country_code": "US",
            "telephone_number": "833-867-4642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Melbury Ct",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923736322",
            "country_code": "US",
            "telephone_number": "909-499-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEDRA",
        "first_name": "ISABELLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "47307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.