NPIMap

Organization Active NPI

Joey S. Tirador, DDS, Inc.

Doing business as ProCare Dental Group

  • General Practice Dentistry
  • Barstow, CA
National Provider Identifier
1801034418
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50993 Issued in CA
Legal business name
JOEY S. TIRADOR, DDS, INC.
Doing business as
ProCare Dental Group
Practice address
1232 E Main St
Barstow, CA 92311-2409
Phone
(760) 256-1189
Fax
(760) 256-1427
NPI assigned
Feb 4, 2009
Organization subpart
Yes
Parent organization
1538343470As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Dr. Joey Soriano Tirador, DDS
Title
President and Ceo
Phone
(760) 256-1189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 50993 CA Primary

Addresses

Primary practice location

1232 E Main St
Barstow, CA 92311-2409

Mailing address

1232 E Main St
Barstow, CA 92311-2409
Phone (760) 256-1189

Other identifiers 1

IdentifierTypeStateIssuer
G94083-02OtherCADENTI-CAL

Other names 1

  • ProCare Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Procare Dental5 organizations share this tax ID, including this one
Part of
Procare Dental

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1801034418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112409",
            "telephone_number": "760-256-1189",
            "fax_number": "760-256-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112409",
            "telephone_number": "760-256-1189",
            "fax_number": "760-256-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEY S. TIRADOR, DDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1538343470",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "TIRADOR",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "SORIANO",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "760-256-1189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G94083-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProCare Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.