Organization Active NPI

Devinderpal Singh Nagra

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1235341892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33152 Issued in CA
Legal business name
DEVINDERPAL SINGH NAGRA
Practice address
1361 E 4TH St
Ontario, CA 91764-3035
Phone
(909) 933-3531
NPI assigned
May 4, 2007
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. D S Nagra, DDS
Title
Owner
Phone
(909) 215-7937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 33152 CA Primary

Addresses

Primary practice location

1361 E 4TH St
Ontario, CA 91764-3035

Mailing address

1361 E 4TH St
Ontario, CA 91764-3035
Phone (909) 933-3531

Other identifiers 1

IdentifierTypeStateIssuer
G9030102OtherCADENTICAL ID

National Provider Directory

National Provider Directory
Tax ID family
Devinderpal Singh Nagra3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235341892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643035",
            "telephone_number": "909-933-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643035",
            "telephone_number": "909-933-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINDERPAL SINGH NAGRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGRA",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-215-7937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL ID",
            "identifier": "G9030102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.