NPIMap

Organization Active NPI

Devinderpal Singh Nagra

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1013129576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33152 Issued in CA
Legal business name
DEVINDERPAL SINGH NAGRA
Practice address
398 E Holt Blvd
Ontario, CA 91761-1616
Phone
(909) 986-8100
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. D S Nagra
Title
Owner
Phone
(909) 215-7937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 33152 CA Primary

Addresses

Primary practice location

398 E Holt Blvd
Ontario, CA 91761-1616

Mailing address

398 E Holt Blvd
Ontario, CA 91761-1616
Phone (909) 986-8100

Other identifiers 1

IdentifierTypeStateIssuer
G9030101OtherCADENTICAL ID

National Provider Directory

National Provider Directory
Tax ID family
Devinderpal Singh Nagra3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

398 E Holt Blvd
Ontario, CA 91761
Phone (909) 986-8100

Practitioners & affiliated clinicians

Practitioners 2

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013129576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 E HOLT BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611616",
            "telephone_number": "909-986-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 E HOLT BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611616",
            "telephone_number": "909-986-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINDERPAL SINGH NAGRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGRA",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-215-7937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL ID",
            "identifier": "G9030101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.