Organization Active NPI

Vishaldhuliya Dental Corporation

  • Dentist
  • Riverside, CA
National Provider Identifier
1033547773
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54136 Issued in CA
Legal business name
VISHALDHULIYA DENTAL CORPORATION
Practice address
4080 Tyler St
Suite D
Riverside, CA 92503-3463
Phone
(951) 359-0149
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Vishal R Dhuliya
Title
President
Phone
(951) 277-3348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54136 CA Primary

Addresses

Primary practice location

4080 Tyler St
Suite D
Riverside, CA 92503-3463

Mailing address

4080 Tyler St
Suite D
Riverside, CA 92503-3463
Phone (951) 359-0149

National Provider Directory

National Provider Directory

Locations

4080 Tyler St
Ste D
Riverside, CA 92503
Phone (951) 359-0149

Practitioners & affiliated clinicians

Practitioners 1

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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1033547773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 TYLER ST",
            "address_2": "SUITE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033463",
            "telephone_number": "951-359-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 TYLER ST",
            "address_2": "SUITE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033463",
            "telephone_number": "951-359-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISHALDHULIYA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "DHULIYA",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-277-3348"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.