NPIMap

Organization Active NPI

Paz Dental Group,Inc

  • General Practice Dentistry
  • Colton, CA
National Provider Identifier
1003105990
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50970 Issued in CA
Legal business name
PAZ DENTAL GROUP,INC
Practice address
705 Colton Ave
Colton, CA 92324-3023
Phone
(909) 825-2175
Fax
(909) 825-0964
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Jeny D Paz
Title
Office Mag
Phone
(909) 825-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50970 CA Primary

Addresses

Primary practice location

705 Colton Ave
Colton, CA 92324-3023

Mailing address

705 Colton Ave
Colton, CA 92324-3023
Phone (909) 825-2175

National Provider Directory

National Provider Directory
Tax ID family
Paz Dental Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

705 Colton Ave
Colton, CA 92324
Phone (909) 825-2175

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1003105990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 COLTON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243023",
            "telephone_number": "909-825-2175",
            "fax_number": "909-825-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 COLTON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243023",
            "telephone_number": "909-825-2175",
            "fax_number": "909-825-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAZ DENTAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "JENY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MAG",
        "authorized_official_telephone_number": "909-825-2175"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.