Moreno Valley Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MORENO VALLEY DENTAL CENTER

Practice address

24266 Postal Ave
Ste 100
Moreno Valley, CA 92553-3081

Phone

(951) 242-2600

NPI assigned

Sep 14, 2007

Reactivated

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James E Dickey, D.D.SNPI 1609931203

Title

Owner

Phone

(952) 242-2600

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• James E Dickey, DDS

  • Dentist
  • Moreno Valley, CA
  • NPI 1609931203
  NPD (past) Authorized official
• Azza Jandali, DDS

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1518172667
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1841485646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24266 POSTAL AVE",
            "address_2": "SUITE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533081",
            "telephone_number": "951-242-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24266 POSTAL AVE",
            "address_2": "STE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533081",
            "telephone_number": "951-242-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO VALLEY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "deactivation_date": "2008-08-08",
        "reactivation_date": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-242-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Morcos, MD
• Moreno Valley Children'S Interagency Program
• Moreno Valley CMHC
• Moreno Valley Community Hospital
• Moreno Valley Community Medical Group
• Moreno Valley Dialysis Center
• Moreno Valley Imaging, L.L.C.
• Moreno Valley Med Care LLC
• Moreno Valley Medical Group, Inc
• Moreno Valley Physicians Associates, a Medical Corp

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.