Banerjee Dental Corperation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

53576 Issued in CA

Legal business name

BANERJEE DENTAL CORPERATION

Practice address

2097 Compton Ave
BLDG 1, Ste 102
Corona, CA 92881-7282

Phone

(951) 273-0555

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shikha Banerjee, DDS

Title

Ceo

Phone

(951) 273-0555

Specialties & licenses 1

Addresses

Other names 1

• Canyon Dental Associates Doing business as

Tax ID family

Banerjee Dental Corp2 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.

• Banerjee Dental Corp

  • Dentist
  • Corona, CA
  • NPI 1689913105
  NPD tax ID

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1083031694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE",
            "address_2": "BLDG 1, STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817282",
            "telephone_number": "951-273-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE",
            "address_2": "BLDG 1, STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817282",
            "telephone_number": "951-273-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANERJEE DENTAL CORPERATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "BANERJEE",
        "authorized_official_first_name": "SHIKHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-273-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shailah Ballesteros
• Michael Baluyut, MD
• Gabrielle Sam Banana
• Kanika Bandha
• Banerjee Dental Corp
• Sanjoy Banerjee, M.D.
• Shikha Banerjee, DDS
• Esther Bang, PH.D.
• Kristina Banks Wallis
• Diamond Banks

• Dental Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.