Organization Active NPI

Claremont Serenity Dentistry

  • General Practice Dentistry
  • Claremont, CA
National Provider Identifier
1134462823
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56002 Issued in CA
Legal business name
CLAREMONT SERENITY DENTISTRY
Practice address
410 W Baseline Rd
Claremont, CA 91711-1607
Phone
(909) 398-4800
Fax
(909) 398-4900
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Adrian Pelaez DDS, DDS
Title
Dentist
Phone
(909) 398-4800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 56002 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 57724 CA

Addresses

Primary practice location

410 W Baseline Rd
Claremont, CA 91711-1607

Mailing address

410 W Baseline Rd
Claremont, CA 91711-1607
Phone (909) 398-4800

National Provider Directory

National Provider Directory
Tax ID family
Claremont Serenity Dentistry2 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

410 W Baseline Rd
Claremont, CA 91711
Phone (909) 398-4800

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1134462823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W BASELINE RD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111607",
            "telephone_number": "909-398-4800",
            "fax_number": "909-398-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W BASELINE RD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111607",
            "telephone_number": "909-398-4800",
            "fax_number": "909-398-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREMONT SERENITY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "PELAEZ DDS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-398-4800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56002",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 2015; 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.