Amy C Hao, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39412 Issued in CA

Practice address

5005 La Mart Dr Ste 102
Riverside, CA 92507-5991

Phone

(951) 786-9141

Fax

(951) 788-9420

NPI assigned

Feb 2, 2007

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy C. Hao D.D.S., a Professional Corporation

  dba University Village Dentistry

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1083427843
  NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1851439871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 LA MART DR STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075991",
            "telephone_number": "951-786-9141",
            "fax_number": "951-788-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 LA MART DR STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075991",
            "telephone_number": "951-786-9141",
            "fax_number": "951-788-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAO",
        "first_name": "AMY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaylie Nicole Hansen
• Ronald C Hansen, D.D.S.
• Ashley Hanson
• Donna Hanson, R.N.
• Jawdat Hantuli, D.O.
• James Hao
• Sophia Jia Hao
• Happy Heroes Medical Transport, LLC
• Hadi Harati, M.D.
• Harbinder S Brar MD Inc

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, 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 Feb 21, 2025; 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.