NPIMap

Organization Active NPI

Dr.Bhagat Uppal & Shah'S Morningside Dental Group

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1033427315
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49562 Issued in CA
Legal business name
DR.BHAGAT UPPAL & SHAH'S MORNINGSIDE DENTAL GROUP
Practice address
12223 Highland Ave
108
Rancho Cucamonga, CA 91739-2574
Phone
(909) 463-7890
Fax
(909) 463-7367
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Reena Khullar, D.D.S
Title
Managing Dentist
Phone
(909) 463-7890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 49562 CA Primary

Addresses

Primary practice location

12223 Highland Ave
108
Rancho Cucamonga, CA 91739-2574

Mailing address

12223 Highland Ave
108
Rancho Cucamonga, CA 91739-2574
Phone (909) 463-7890

Other names 1

  • Daycreek Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daycreek Dental Care2 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

12223 Highland Ave
Ste 108
Rancho Cucamonga, CA 91739
Phone (909) 463-7890

Practitioners & affiliated clinicians

Practitioners 3

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": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1033427315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 HIGHLAND AVE",
            "address_2": "108",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392574",
            "telephone_number": "909-463-7890",
            "fax_number": "909-463-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12223 HIGHLAND AVE",
            "address_2": "108",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392574",
            "telephone_number": "909-463-7890",
            "fax_number": "909-463-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.BHAGAT UPPAL & SHAH'S MORNINGSIDE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "KHULLAR",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "909-463-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daycreek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.