Organization Active NPI

Upland Dental Practice

  • General Practice Dentistry
  • Upland, CA
National Provider Identifier
1235107079
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4991 Issued in CA
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eftekhari DDS Inc United Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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

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.

Verify at the official NPI Registry.