Esparza Dental Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

45252 Issued in CA

Legal business name

ESPARZA DENTAL CORPORATION

Practice address

213 W G St
Ontario, CA 91762-3227

Phone

(909) 986-6180

Fax

(909) 986-6179

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Oscar B Esparza, D.D.S.

Title

Dentist

Phone

(909) 984-3418

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Esparza Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jebcob

  • Dentist
  • Ontario, CA
  • NPI 1255470803
  NPD tax ID

Locations

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1962957704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W G ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623227",
            "telephone_number": "909-986-6180",
            "fax_number": "909-986-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W G ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623227",
            "telephone_number": "909-986-6180",
            "fax_number": "909-986-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPARZA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-984-3418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "45252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NPI",
            "identifier": "1912452723",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NPI",
            "identifier": "1124382296",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reyna Escobar
• Samantha Escobar
• Steven Escobar
• Virginia Dolores Escoto-Gonzalez, LMFT
• Erick Guillermo Esmenjaud, D.D.S.
• Esparza Dentistry (Blanca M. Esparza D.D.S.)
• Esparza Dentistry Inc.
• Bianca Esparza, DDS
• Blanca Esparza, D.D.S.
• Christopher Martinez Esparza, RDH

• Preferred Provider Organization in Ontario, CA
• Providers in Ontario, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.