What is Harley Deisem's NPI number?

Harley Deisem's National Provider Identifier (NPI) is 1093820557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Harley Deisem's specialty?

Harley Deisem is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Harley Deisem located?

Harley Deisem's practice location on file with NPPES is 12875 Mountain Ave, Chino, CA 91710-4556.

What is Harley Deisem's phone number?

The practice phone number listed in the NPPES registry for Harley Deisem is (909) 591-0316.

Is Harley Deisem's NPI active?

Yes — Harley Deisem's NPI (1093820557) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Harley Deisem, DDS

NPI 1093820557 · General Practice Dentistry · Chino, CA

Harley Deisem, DDS is a General Practice Dentistry provider in Chino, CA (NPI 1093820557).

Provider details

NPI number: 1093820557
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 029698 (CA)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 029698 (CA)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12875 Mountain Ave

Chino, CA 91710-4556

Phone: (909) 591-0316

Fax: (909) 628-4823

Street-level locationGet directions

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Mailing address