Organization Active NPI

Holt Dental Center

  • Dental Clinic/Center
  • Montclair, CA
National Provider Identifier
1215107263
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
46911 Issued in CA
Legal business name
HOLT DENTAL CENTER
Practice address
5153 Holt Blvd Ste A2
Montclair, CA 91763-4837
Phone
(909) 625-6545
Fax
(909) 625-6546
NPI assigned
Mar 6, 2008
Organization subpart
Yes
Parent organization
JAUBIN NGUYEN, D.M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Jaubin Nguyen, D.M.D.
Title
President
Phone
(310) 658-1898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 46911 CA Primary

Addresses

Primary practice location

5153 Holt Blvd Ste A2
Montclair, CA 91763-4837

Mailing address

5153 Holt Blvd Ste A2
Montclair, CA 91763-4837
Phone (909) 625-6545

National Provider Directory

National Provider Directory
Tax ID family
Jaubin Nguyendmd2 organizations share this tax ID, including this one
Part of
Jaubin Nguyendmd

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5153 Holt Blvd
Ste A2
Montclair, CA 91763
Phone (909) 625-6545

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1215107263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 HOLT BLVD STE A2",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634837",
            "telephone_number": "909-625-6545",
            "fax_number": "909-625-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 HOLT BLVD STE A2",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634837",
            "telephone_number": "909-625-6545",
            "fax_number": "909-625-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT DENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAUBIN NGUYEN, D.M.D.",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JAUBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-658-1898",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.