NPIMap

Organization Active NPI

Esquivel D.D.S. Dental Corporation

  • General Practice Dentistry
  • Glendora, CA
National Provider Identifier
1760073407
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESQUIVEL D.D.S. DENTAL CORPORATION
Practice address
410 S Glendora Ave Ste 250
Glendora, CA 91741-6239
Phone
(626) 963-4464
NPI assigned
Jan 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Dr. Sally Esquivel, DDSNPI 1134499551
Title
President/Dentist
Phone
(626) 590-9470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

410 S Glendora Ave Ste 250
Glendora, CA 91741-6239

Mailing address

410 S Glendora Ave Ste 250
Glendora, CA 91741-6239
Phone (626) 963-4464

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Glendora Direct

National Provider Directory

National Provider Directory

Locations

410 S Glendora Ave
Ste 250
Glendora, CA 91741
Phone (626) 963-4464

Practitioners & affiliated clinicians

Practitioners 2

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": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1760073407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S GLENDORA AVE STE 250",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416239",
            "telephone_number": "626-963-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S GLENDORA AVE STE 250",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416239",
            "telephone_number": "626-963-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESQUIVEL D.D.S. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "ESQUIVEL",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "626-590-9470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glendora",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information is not shared",
            "address_1": "410 S Glendora Ave Ste 250",
            "city": "Glendora",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917416239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jan 26, 2021; 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.