Organization Active NPI

Sina Nia, DMD, Inc.

  • Dental Clinic/Center
  • Moreno Valley, CA
National Provider Identifier
1154146850
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SINA NIA, DMD, INC.
Practice address
12810 Heacock St Ste B103
Moreno Valley, CA 92553-3171
Phone
(951) 242-3441
Fax
(949) 289-9218
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Sina NiaNPI 1538541701
Title
Owner
Phone
(408) 355-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12810 Heacock St Ste B103
Moreno Valley, CA 92553-3171

Mailing address

12810 Heacock St Ste B103
Moreno Valley, CA 92553-3171
Phone (951) 242-3441

National Provider Directory

National Provider Directory

Locations

12810 Heacock St
Ste B103
Moreno Valley, CA 92553
Phone (951) 242-3441

Practitioners & affiliated clinicians

Practitioners 2

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": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1154146850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST STE B103",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533171",
            "telephone_number": "951-242-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST STE B103",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533171",
            "telephone_number": "951-242-3441",
            "fax_number": "949-289-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA NIA, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "NIA",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-355-5550"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.