NPIMap

Organization Active NPI

Dental Office of Joel Barett Henriod DDS Inc.

  • Periodontics
  • Glendora, CA
National Provider Identifier
1750814612
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
55124 Issued in CA
Legal business name
DENTAL OFFICE OF JOEL BARETT HENRIOD DDS INC.
Doing business as
Albion Dental
Practice address
216 E Route 66
Glendora, CA 91740-6241
Phone
(626) 335-0134
Fax
(626) 335-1140
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Mr. Michael Henriod
Title
Chief Financial Officer
Phone
(801) 792-7018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 55124 CA Primary

Addresses

Primary practice location

216 E Route 66
Glendora, CA 91740-6241

Mailing address

216 E Route 66
Glendora, CA 91740-6241
Phone (626) 335-0134

Other names 1

  • Albion Dental Doing business as

National Provider Directory

National Provider Directory

Locations

216 E Route 66
Glendora, CA 91740
Phone (626) 335-0134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1750814612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406241",
            "telephone_number": "626-335-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406241",
            "telephone_number": "626-335-0134",
            "fax_number": "626-335-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICE OF JOEL BARETT HENRIOD DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "HENRIOD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "801-792-7018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "55124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albion Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.