Reena Khullar DDS and Puneet Wadhwa

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49562 Issued in CA

Legal business name

REENA KHULLAR DDS AND PUNEET WADHWA

Practice address

3055 S Archibald Ave Ste C-1
Ontario, CA 91761-9007

Phone

(909) 466-4611

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Reena KhullarNPI 1215077508

Title

Owner

Phone

(909) 996-0523

Specialties & licenses 3

Addresses

Other names 1

• Ontario Kids N Braces Doing business as

Locations

Practitioners 1

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

• Reena Khullar, DDS MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ontario, CA
  • NPI 1215077508
  NPD Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1003262502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ANO NUEVO DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 S ARCHIBALD AVE STE C-1",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917619007",
            "telephone_number": "909-466-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENA KHULLAR DDS AND PUNEET WADHWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "KHULLAR",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-996-0523"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario Kids N Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blessy M Reddy
• Allison Nicole Redondo Lugo
• Amber Reed
• Judi Reed
• Lynnise Reed
• Gerardo Albert Regalado, FNP
• Perla Regalado
• Regenass Healthcare Group
• Micah Reglos
• Alejandra Rejin

• Dental Clinic/Center in Ontario, CA
• Providers in Ontario, 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 May 10, 2022; 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.