Organization Active NPI

Rania N. Refaat, DDS, a Prof. Dental Corp

  • Dental Clinic/Center
  • Upland, CA
National Provider Identifier
1043556426
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
46326 Issued in CA
Legal business name
RANIA N. REFAAT, DDS, A PROF. DENTAL CORP
Practice address
304 N. Mountain Ave.
Upland, CA 91786
Phone
(909) 989-1758
Fax
(909) 989-9874
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Rania N. Refaat, DDSNPI 1104974856
Title
Owner/Dentist/President
Phone
(909) 989-1758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 46326 CA Primary

Addresses

Primary practice location

304 N. Mountain Ave.
Upland, CA 91786

Mailing address

304 N. Mountain Ave.
Upland, CA 91786
Phone (909) 989-1758

National Provider Directory

National Provider Directory

Locations

7388 Carnelian St
Ste C
Rancho Cucamonga, CA 91730

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": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1043556426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N. MOUNTAIN AVE.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-989-1758",
            "fax_number": "909-989-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N. MOUNTAIN AVE.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-989-1758",
            "fax_number": "909-989-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANIA N. REFAAT, DDS, A PROF. DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "REFAAT",
        "authorized_official_first_name": "RANIA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "909-989-1758",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.