Organization Active NPI

John H. Mertens, D.D.S., Apc

  • General Practice Dentistry
  • Claremont, CA
National Provider Identifier
1023165800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20414 Issued in CA
Legal business name
JOHN H. MERTENS, D.D.S., APC
Practice address
354 W Foothill Blvd
Claremont, CA 91711-2709
Phone
(909) 626-1279
Fax
(909) 626-0989
NPI assigned
Jan 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. John Henry Mertens, D.D.S.
Title
Dentist
Phone
(909) 626-1279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20414 CA Primary

Addresses

Primary practice location

354 W Foothill Blvd
Claremont, CA 91711-2709

Mailing address

354 W Foothill Blvd
Claremont, CA 91711-2709
Phone (909) 626-1279

National Provider Directory

National Provider Directory

Locations

354 W Foothill Blvd
Claremont, CA 91711
Phone (909) 624-1215

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023165800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112709",
            "telephone_number": "909-626-1279",
            "fax_number": "909-626-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112709",
            "telephone_number": "909-626-1279",
            "fax_number": "909-626-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. MERTENS, D.D.S., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERTENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-626-1279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, 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.