Organization Active NPI

Nguyen Tabari Dental Inc

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1073158564
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NGUYEN TABARI DENTAL INC
Practice address
10630 Town Center Dr Ste 131
Rancho Cucamonga, CA 91730-8600
Phone
(909) 987-8835
Fax
(909) 484-3101
NPI assigned
Nov 8, 2019
Organization subpart
Yes
Parent organization
NGUYEN TABARI DENTAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Myra Wolfinbarger
Title
Manager
Phone
(909) 987-8835

Specialties & licenses 1

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

Addresses

Primary practice location

10630 Town Center Dr Ste 131
Rancho Cucamonga, CA 91730-8600

Mailing address

10630 Town Center Dr Ste 131
Rancho Cucamonga, CA 91730-8600
Phone (909) 987-8835

Other names 1

  • all about smile dental group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All About Smile Dental Group2 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

10630 Town Center Dr
Ste 131
Rancho Cucamonga, CA 91730
Phone (909) 987-6643

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": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1073158564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DR STE 131",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308600",
            "telephone_number": "909-987-8835",
            "fax_number": "909-484-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 TOWN CENTER DR STE 131",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308600",
            "telephone_number": "909-987-8835",
            "fax_number": "909-484-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN TABARI DENTAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NGUYEN TABARI DENTAL INC",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "WOLFINBARGER",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-987-8835"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "all about smile dental group",
            "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 Nov 8, 2019; 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.