NPIMap

Organization Active NPI

Louis Stromberg Professional Dental Corporation

Doing business as Crossroads Dental Group

  • General Practice Dentistry
  • Upland, CA
National Provider Identifier
1174610638
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LOUIS STROMBERG PROFESSIONAL DENTAL CORPORATION
Doing business as
Crossroads Dental Group
Practice address
1875 N Campus Ave
Ste. C
Upland, CA 91784-8208
Phone
(909) 985-2302
Fax
(909) 982-4121
NPI assigned
Oct 6, 2006
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Louis Z Stromberg, DDSNPI 1760495931
Title
Owner DDS
Phone
(909) 985-2302

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1875 N Campus Ave
Ste. C
Upland, CA 91784-8208

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • CROSSROADS DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

1875 N Campus Ave
Ste C
Upland, CA 91784
Phone (909) 242-7989

Practitioners & affiliated clinicians

Practitioners 9

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1174610638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 N CAMPUS AVE",
            "address_2": "STE. C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848208",
            "telephone_number": "909-985-2302",
            "fax_number": "909-982-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS STROMBERG PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "909-985-2302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSSROADS DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.