NPIMap

Organization Active NPI

Sumabat Dental Corporation

  • Dentist
  • Indio, CA
National Provider Identifier
1033433867
Registry record updated Sep 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42426 Issued in CA
Legal business name
SUMABAT DENTAL CORPORATION
Practice address
43990 Golf Center Pkwy
B-4
Indio, CA 92203-5001
Phone
(760) 347-3767
NPI assigned
Mar 23, 2010
Organization subpart
Yes
Parent organization
SUMABAT DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2015

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

Authorized official

Name
Dr. Ramon Sumabat, D.D.S.
Title
President
Phone
(760) 320-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 42426 CA Primary

Addresses

Primary practice location

43990 Golf Center Pkwy
B-4
Indio, CA 92203-5001

Mailing address

43990 Golf Center Pkwy
B-4
Indio, CA 92203-5001
Phone (760) 347-3767

Other identifiers 1

IdentifierTypeStateIssuer
BS42426-3OtherCADENTI-CAL

Other names 1

  • Sumabat Dental at Indio Other name

National Provider Directory

National Provider Directory
Tax ID family
Sumabat Dental Corporation2 organizations share this tax ID, including this one
Part of
Sumabat Dental Corporation

Other organizations with this tax ID 1

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

Locations

43990 Golf Center Pkwy
Ste B4
Indio, CA 92203
Phone (760) 347-3767

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442102400000",
    "number": "1033433867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43990 GOLF CENTER PKWY",
            "address_2": "B-4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922035001",
            "telephone_number": "760-347-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43990 GOLF CENTER PKWY",
            "address_2": "B-4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922035001",
            "telephone_number": "760-347-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMABAT DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMABAT DENTAL CORPORATION",
        "enumeration_date": "2010-03-23",
        "last_updated": "2015-09-13",
        "status": "A",
        "authorized_official_last_name": "SUMABAT",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-320-6230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "BS42426-3",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumabat Dental at Indio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; 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.