Fabriel D Burquez

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49476 Issued in CA

Legal business name

FABRIEL D BURQUEZ

Practice address

180 Otay Lakes Rd Ste 210B
Bonita, CA 91902-2400

Phone

(619) 479-4457

Fax

(619) 479-4827

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Fabriel Dario Burquez, DDSNPI 1255521852

Title

Dentist

Phone

(619) 479-4457

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FABRIEL D BURQUEZ DDS INC Other name

Locations

Practitioners 1

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

• Fabriel D Burquez, DDS

  • General Practice Dentistry
  • Bonita, CA
  • NPI 1255521852
  NPD (past) Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1982893087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OTAY LAKES RD STE 210B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022400",
            "telephone_number": "619-479-4457",
            "fax_number": "619-479-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OTAY LAKES RD STE 210B",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022400",
            "telephone_number": "619-479-4457",
            "fax_number": "619-479-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABRIEL D BURQUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "BURQUEZ",
        "authorized_official_first_name": "FABRIEL",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-479-4457",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G89774-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FABRIEL D BURQUEZ DDS INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Dolland, DC
• Michele Alaine Dumstorff, PHARM. D.
• Lilinda Cruz Enano, DMD
• Carlos Manuel Espana, DDS
• Bette Ann Evenson
• Lisa Marie Fann, B.A., M.A.
• Ashley Farwick
• Steven H Ferriot, DDS
• Katarina Fray, MA, MS, CCC-SLP
• Joel Villamil Gabriel, L.AC.

• Dental Clinic/Center in Bonita, CA
• Providers in Bonita, 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 Oct 15, 2007; 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.