Organization Active NPI

Norma Vazquez DDS, Inc.

  • Dentist
  • Riverside, CA
National Provider Identifier
1922330554
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54688 Issued in CA
Legal business name
NORMA VAZQUEZ DDS, INC.
Practice address
4060 Madison St
Riverside, CA 92504-2642
Phone
(951) 352-0500
Fax
(951) 352-0600
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Norma Vazquez, DDSNPI 1306012786
Title
President
Phone
(951) 352-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 54688 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 54688 CA

Addresses

Primary practice location

4060 Madison St
Riverside, CA 92504-2642

Mailing address

4060 Madison St
Riverside, CA 92504-2642
Phone (951) 352-0500

Other names 1

  • West Coast Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4060 Madison St
Riverside, CA 92504
Phone (951) 352-0500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1922330554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 MADISON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042642",
            "telephone_number": "951-352-0500",
            "fax_number": "951-352-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 MADISON ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042642",
            "telephone_number": "951-352-0500",
            "fax_number": "951-352-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA VAZQUEZ DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-352-0500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54688",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Coast Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.