Individual provider Active NPI

Jeffrey Alexander Figueroa, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1992258875
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100557 Issued in CA
Practice address
3297 Arlington Ave
Suite Number 101
Riverside, CA 92506-3249
Phone
(951) 683-6055
NPI assigned
Jul 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100557 CA Primary

Addresses

Primary practice location

3297 Arlington Ave
Suite Number 101
Riverside, CA 92506-3249

Mailing address

11852 Mount Vernon Ave
Apt J362
Grand Terrace, CA 92313-8207
Phone (323) 352-6606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170607002257 CA Order and Referring Only - DentistPractitioner - Dentist 3375811797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100557CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen and Watanabe Dental Corporation 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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1992258875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 MOUNT VERNON AVE",
            "address_2": "APT J362",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923138207",
            "telephone_number": "323-352-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 ARLINGTON AVE",
            "address_2": "SUITE NUMBER 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063249",
            "telephone_number": "951-683-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "JEFFREY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.