NPIMap

Organization Active NPI

Allen Dental Corportation

Doing business as Softcare Dental

  • Dental Clinic/Center
  • Chino, CA
National Provider Identifier
1104008721
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALLEN DENTAL CORPORTATION
Doing business as
Softcare Dental
Practice address
3686 Riverside Dr
Ste G
Chino, CA 91710-2979
Phone
(909) 591-1299
Fax
(909) 591-5899
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Rosalinda Allen, DDSNPI 1639205867
Title
Owner
Phone
(909) 591-1299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

3686 Riverside Dr
Ste G
Chino, CA 91710-2979

Mailing address

3686 Riverside Dr
Ste G
Chino, CA 91710-2979
Phone (909) 591-1299

Other identifiers 1

IdentifierTypeStateIssuer
G93949-01MedicaidCA

Other names 1

  • Softcare Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3686 Riverside Dr
Ste G
Chino, CA 91710
Phone (909) 591-1299

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1104008721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 RIVERSIDE DR",
            "address_2": "STE G",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102979",
            "telephone_number": "909-591-1299",
            "fax_number": "909-591-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 RIVERSIDE DR",
            "address_2": "STE G",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102979",
            "telephone_number": "909-591-1299",
            "fax_number": "909-591-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN DENTAL CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-591-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93949-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Softcare Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.