Organization Active NPI

Paul R. Stanley DDS Inc

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1104143536
Registry record updated Apr 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25768 Issued in CA
Legal business name
PAUL R. STANLEY DDS INC
Practice address
9781 Sierra Ave
Suite B
Fontana, CA 92335-1716
Phone
(909) 823-4400
NPI assigned
Apr 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2010

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

Authorized official

Name
Paul Stanley DDS, DDS
Title
President
Phone
(909) 823-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25768 CA Primary

Addresses

Primary practice location

9781 Sierra Ave
Suite B
Fontana, CA 92335-1716

Mailing address

9781 Sierra Ave
Suite B
Fontana, CA 92335-1716
Phone (909) 823-4400

National Provider Directory

National Provider Directory

Locations

9781 Sierra Ave
Ste B
Fontana, CA 92335
Phone (909) 823-4400

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": "1272153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272153600000",
    "number": "1104143536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9781 SIERRA AVE",
            "address_2": "SUITE B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351716",
            "telephone_number": "909-823-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9781 SIERRA AVE",
            "address_2": "SUITE B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351716",
            "telephone_number": "909-823-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. STANLEY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-25",
        "last_updated": "2010-04-25",
        "status": "A",
        "authorized_official_last_name": "STANLEY DDS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-823-4400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2010; 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.