Organization Active NPI

Neil Vadecha DMD Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Claremont, CA
National Provider Identifier
1083807671
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NEIL VADECHA DMD INC
Doing business as
Claremont Orthodontics
Practice address
540 W Baseline Rd
Suite 5
Claremont, CA 91711-1612
Phone
(909) 625-1234
Fax
(909) 625-4500
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Neil Viden Vadecha, DMD
Title
Orthodontist
Phone
(909) 625-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

540 W Baseline Rd
Suite 5
Claremont, CA 91711-1612

Mailing address

540 W Baseline Rd
Suite 5
Claremont, CA 91711-1612
Phone (909) 625-1234

Other names 1

  • Claremont Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

540 W Baseline Rd
Ste 5
Claremont, CA 91711
Phone (909) 625-1234

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1083807671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W BASELINE RD",
            "address_2": "SUITE 5",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111612",
            "telephone_number": "909-625-1234",
            "fax_number": "909-625-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W BASELINE RD",
            "address_2": "SUITE 5",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111612",
            "telephone_number": "909-625-1234",
            "fax_number": "909-625-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL VADECHA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "VADECHA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "VIDEN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "909-625-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claremont Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.