NPIMap

Organization Active NPI

M & M Noori Dental Corporation

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1154620995
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
M & M NOORI DENTAL CORPORATION
Doing business as
ONTARIO MILLS DENTAL GROUP
Practice address
4323 Mills Cir
Suite 101
Ontario, CA 91764-5251
Phone
(909) 476-3000
Fax
(909) 476-3662
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Mojgan Noori, DDSNPI 1396931341
Title
President
Phone
(909) 476-3000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4323 Mills Cir
Suite 101
Ontario, CA 91764-5251

Mailing address

4323 Mills Cir
Suite 101
Ontario, CA 91764-5251
Phone (909) 476-3000

Other names 1

  • ONTARIO MILLS DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

4323 Mills Cir
Ste 101
Ontario, CA 91764
Phone (909) 476-3000

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": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1154620995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 MILLS CIR",
            "address_2": "SUITE 101",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645251",
            "telephone_number": "909-476-3000",
            "fax_number": "909-476-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 MILLS CIR",
            "address_2": "SUITE 101",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645251",
            "telephone_number": "909-476-3000",
            "fax_number": "909-476-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M NOORI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "NOORI",
        "authorized_official_first_name": "MOJGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-476-3000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONTARIO MILLS DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.