Organization Active NPI

Daniel Duroseau DDS Inc

  • General Practice Dentistry
  • Upland, CA
National Provider Identifier
1003084229
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48452 Issued in CA
Legal business name
DANIEL DUROSEAU DDS INC
Practice address
270 E 7TH St Ste 2D
Upland, CA 91786-6602
Phone
(909) 608-2390
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Dr. Daniel Duroseau, D.D.SNPI 1932239845
Title
Owner
Phone
(951) 204-3651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 48452 CA
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 48452 CA Primary

Addresses

Primary practice location

270 E 7TH St Ste 2D
Upland, CA 91786-6602

Mailing address

126 W B St
Ontario, CA 91762-3503
Phone (909) 984-4746

National Provider Directory

National Provider Directory

Locations

126 W B St
Ontario, CA 91762
Phone (909) 984-4746

270 E 7th St
Ste 2D
Upland, CA 91786
Phone (909) 608-2390

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1003084229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W B ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623503",
            "telephone_number": "909-984-4746",
            "fax_number": "909-984-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E 7TH ST STE 2D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866602",
            "telephone_number": "909-608-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DUROSEAU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "DUROSEAU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-204-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48452",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.