Individual provider Active NPI

Esther M Moniaga, D.D.S.

  • General Practice Dentistry
  • Diamond Bar, CA
National Provider Identifier
1770518326
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36623 Issued in CA
Practice address
23341 Golden Springs Dr Ste 206
Diamond Bar, CA 91765-2054
Phone
(909) 396-7774
Fax
(909) 396-8874
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36623 CA Primary

Addresses

Primary practice location

23341 Golden Springs Dr Ste 206
Diamond Bar, CA 91765-2054

Mailing address

23341 Golden Springs Dr Ste 206
Diamond Bar, CA 91765-2054
Phone (909) 396-7774

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
I20160107002683 CA Order and Referring Only - DentistPractitioner - Dentist 1355643354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36623CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Esther M. Moniaga D.D.S.Inc. Current Accepting new patients

Locations

23341 Golden Springs Dr
Ste 206
Diamond Bar, CA 91765
Phone (909) 396-7774

Organizations & group practices 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1770518326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR STE 206",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652054",
            "telephone_number": "909-396-7774",
            "fax_number": "909-396-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23341 GOLDEN SPRINGS DR STE 206",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652054",
            "telephone_number": "909-396-7774",
            "fax_number": "909-396-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIAGA",
        "first_name": "ESTHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

Verify at the official NPI Registry.