Active NPI
Holt Dental Center
- Dental Clinic/Center
- Montclair, CA
National Provider Identifier
1215107263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 46911
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Nguyendmd
- Part of
- Jaubin Nguyendmd
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Carson, CA
- NPI 1629291570
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.