Individual provider Active NPI

Leah Clarisse Dayrit

  • Dentist
  • Chino, CA
National Provider Identifier
1013607795
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110155 Issued in CA
Practice address
12920 Central Ave
Chino, CA 91710-4121
Phone
(951) 907-6861
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110155 CA Primary

Addresses

Primary practice location

12920 Central Ave
Chino, CA 91710-4121

Mailing address

5680 Grata Vista CT
Rancho Cucamonga, CA 91737-2350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110155CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Clarisse Dayrit DMD Inc Dentist CurrentSince Jun 30, 2024 Accepting new patients

Locations

12920 Central Ave
Chino, CA 91710
Phone (909) 517-2050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1013607795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 GRATA VISTA CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12920 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104121",
            "telephone_number": "951-907-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYRIT",
        "first_name": "LEAH CLARISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.