Active NPI
Upland Dental Practice
- General Practice Dentistry
- Upland, CA
National Provider Identifier
1235107079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4991
- Legal business name
- UPLAND DENTAL PRACTICE
- Doing business as
- Upland Dental Practice
- Practice address
- 270 E 7TH St
Suite 2D
Upland, CA 91786-6602 - Phone
- (909) 920-6000
- Fax
- (909) 985-6070
- NPI assigned
- Mar 9, 2006
- Last updated
- Aug 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abbas Eftekhari, D. D. S.
- Title
- Owner
- Phone
- (909) 920-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4991 | CA | Primary |
Addresses
Primary practice location
270 E 7TH St
Suite 2D
Upland, CA 91786-6602
Mailing address
270 E 7TH St
Suite 2D
Upland, CA 91786-6602
Phone (909) 920-6000
Other names 1
- Upland Dental Practice
National Provider Directory
National Provider Directory- Tax ID family
- Eftekhari DDS Inc United Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba United Dental Care
- General Practice Dentistry
- Culver City, CA
- NPI 1780651810
Locations
270 E 7th St
Ste 2D
Upland, CA 91786
Phone (909) 608-2390
300 E 7th St
Ste 1F
Upland, CA 91786
Phone (909) 920-6000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Upland, CA
- NPI 1952450611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659657600000",
"number": "1235107079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E 7TH ST",
"address_2": "SUITE 2D",
"city": "UPLAND",
"state": "CA",
"postal_code": "917866602",
"telephone_number": "909-920-6000",
"fax_number": "909-985-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 E 7TH ST",
"address_2": "SUITE 2D",
"city": "UPLAND",
"state": "CA",
"postal_code": "917866602",
"telephone_number": "909-920-6000",
"fax_number": "909-985-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPLAND DENTAL PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A",
"authorized_official_last_name": "EFTEKHARI",
"authorized_official_first_name": "ABBAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-920-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D. D. S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "4991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Upland Dental Practice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Upland Dental Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
- Unicare Hospice Provider, Inc.
- United Heart Institute
- Upland Anesthesia Medical Group
- Upland Community Care, Inc (Upland Rehabilitation and Care Center)
- Upland Convalescent Hospital Inc. (Upland Rehabilitation & Care Center)
- Upland Dermatology Center
- Upland MRI Center, Inc
- Upland New Health Center
- Upland Rheumatology Center
- Upland Spine & Rehab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.