NPIMap

Organization Active NPI

Chirag Vora Dental Professional Corporation

  • Dentist
  • Corona, CA
National Provider Identifier
1023550969
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47204 Issued in CA
Legal business name
CHIRAG VORA DENTAL PROFESSIONAL CORPORATION
Doing business as
RENAISSANCE SMILE DENTAL CENTER
Practice address
2815 S Main St
Suite#105
Corona, CA 92882-2531
Phone
(951) 272-0417
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Chirag Pramod Vora, D.D.S
Title
President
Phone
(951) 272-0417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47204 CA Primary

Addresses

Primary practice location

2815 S Main St
Suite#105
Corona, CA 92882-2531

Mailing address

2815 South Main Street
Suite#105
Corona, CA 92882
Phone (951) 272-0417

Other names 1

  • RENAISSANCE SMILE DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chirag Vora Dental Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2815 S Main St
Ste 105
Corona, CA 92882
Phone (951) 272-0417

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1023550969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 SOUTH MAIN STREET",
            "address_2": "SUITE#105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92882",
            "telephone_number": "951-272-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S MAIN ST",
            "address_2": "SUITE#105",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822531",
            "telephone_number": "951-272-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRAG VORA DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "PRAMOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-272-0417",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAISSANCE SMILE DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.