Individual provider Active NPI

Oscar Esparza, D.D.S

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1972576130
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45252 Issued in CA
Practice address
213 W G St
Ontario, CA 91762-3227
Phone
(909) 986-6180
Fax
(909) 986-6179
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45252 CA
General Practice Dentistry 1223G0001X 45252 CA Primary

Addresses

Primary practice location

213 W G St
Ontario, CA 91762-3227

Mailing address

213 W G Street
Ontario, CA 91762-3227
Phone (909) 986-6180

Other practice location 1

786 E Foothill Blvd Ste O
Rialto, CA 92376-5285
Phone (909) 874-7870

Other practice location 2

5250 Philadelphia St Ste O
Chino, CA 91710-2483
Phone (909) 613-1300

Other identifiers 2

IdentifierTypeStateIssuer
D45252MedicaidCA
823041039OtherCATAX IS NUMBER INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Esparza Dentistry Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1972576130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W G STREET",
            "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": [
        {
            "address_1": "786 E Foothill Blvd Ste O",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765285",
            "country_code": "US",
            "telephone_number": "909-874-7870",
            "fax_number": "909-874-8761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5250 Philadelphia St Ste O",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102483",
            "country_code": "US",
            "telephone_number": "909-613-1300",
            "fax_number": "909-613-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPARZA",
        "first_name": "OSCAR",
        "name_prefix": "Prof.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45252",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D45252",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IS NUMBER INC.",
            "identifier": "823041039",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.