Dr Flores Family Dental Office Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

37823 Issued in CA

Legal business name

DR FLORES FAMILY DENTAL OFFICE PROFESSIONAL CORPORATION

Practice address

1585 W Redlands Blvd
Redlands, CA 92373-8023

Phone

(909) 792-0071

Fax

(909) 307-8310

NPI assigned

Aug 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jesus A Flores, DDSNPI 1114949542

Title

President

Phone

(909) 792-0071

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jesus A Flores, DDS

  • General Practice Dentistry
  • Redlands, CA
  • NPI 1114949542
  NPD (past) Authorized official
• Blanca Denise Verdugo, RDH

  • Dental Hygienist
  • Redlands, CA
  • NPI 1346031622
  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1912383845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738023",
            "telephone_number": "909-792-0071",
            "fax_number": "909-307-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738023",
            "telephone_number": "909-792-0071",
            "fax_number": "909-307-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FLORES FAMILY DENTAL OFFICE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-792-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "37823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1114949542",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Douglas
• Regan S Douty, D.O.
• Zoey Dow, M.S, CCC-SLP
• Crystal Dowdall
• Tresa Downey, PTA
• Dr Harvey Ledesma Optometry Inc
• David Lawrence Drake, PSY.D.
• Madison Dreyer, SLPA
• DRS.Jeevan & Neela Ghatnekar DDS. Inc.
• Mayra I Duarte, MFT

• Dental Clinic/Center in Redlands, CA
• Providers in Redlands, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.