NPIMap

Organization Active NPI

Ontario Village Dental

Doing business as Luis Paniagua DDS Inc, A Professional Corporation

  • Dentist
  • Ontario, CA
National Provider Identifier
1194821058
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37057 Issued in CA
Legal business name
ONTARIO VILLAGE DENTAL
Doing business as
Luis Paniagua DDS Inc, A Professional Corporation
Practice address
533 W Holt Blvd
Suite B
Ontario, CA 91762-3732
Phone
(909) 988-1992
Fax
(909) 988-0542
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis E Paniagua, DDS
Title
President/Dentist
Phone
(909) 988-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37057 CA Primary

Addresses

Primary practice location

533 W Holt Blvd
Suite B
Ontario, CA 91762-3732

Mailing address

533 W Holt Blvd
Suite B
Ontario, CA 91762-3732
Phone (909) 988-1992

Other names 1

  • Luis Paniagua DDS Inc, A Professional Corporation Doing business as

National Provider Directory

National Provider Directory

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194821058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W HOLT BLVD",
            "address_2": "SUITE B",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623732",
            "telephone_number": "909-988-1992",
            "fax_number": "909-988-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W HOLT BLVD",
            "address_2": "SUITE B",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623732",
            "telephone_number": "909-988-1992",
            "fax_number": "909-988-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO VILLAGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANIAGUA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "909-988-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luis Paniagua DDS Inc, A Professional Corporation",
            "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 Aug 22, 2020; 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.