Remona Dental Center Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REMONA DENTAL CENTER INC.

Practice address

324 S Indian Hill Blvd
Claremont, CA 91711-5289

Phone

(909) 625-3600

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hadi S Kusumo, DDS

Title

Ceo

Phone

(909) 625-3600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Kusumo, D.D.S

  • Dentist
  • Claremont, CA
  • NPI 1144698341
  NPD (past)

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1013414200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115289",
            "telephone_number": "909-625-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S INDIAN HILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115289",
            "telephone_number": "909-625-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMONA DENTAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "KUSUMO",
        "authorized_official_first_name": "HADI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-625-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Diane Raymond, FNP
• Amy Marie Rea, LMFT
• Radha Thiruvengadam Reddy, MD
• Cary Ramadan Reed
• Kris A Reed, PHD LMFT
• Chris Reney
• Renovi Center for Integrative Medicine and Arts, Inc. (Renovi Center for Integrative Medicine)
• Michelle N Reyes-Leal, ACSW
• Marcella Reyes, LMT, CPT, CES
• Samuel Reyes Jr., ACSW

• General Practice Dentistry in Claremont, CA
• Providers in Claremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.