NPIMap

Organization Active NPI

John D Sauter DDS MDS Ortho Dental GP Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Upland, CA
National Provider Identifier
1275672958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20456 Issued in CA
Legal business name
JOHN D SAUTER DDS MDS ORTHO DENTAL GP INC
Practice address
1330 San Bernardino Rd
Suite I
Upland, CA 91786
Phone
(909) 985-9215
Fax
(909) 981-6506
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Cindy Mendoza, RDA
Title
Office Manager
Phone
(909) 985-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 20456 CA Primary

Addresses

Primary practice location

1330 San Bernardino Rd
Suite I
Upland, CA 91786

Mailing address

1330 San Bernardino
Suite I
Upland, CA 91786
Phone (909) 985-9215

National Provider Directory

National Provider Directory
Tax ID family
John D Sauter DDS MDS Ortho Dental GP Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1330 San Bernardino Rd
Ste I
Upland, CA 91786
Phone (909) 985-9215

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275672958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO",
            "address_2": "SUITE I",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-985-9215",
            "fax_number": "909-981-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "SUITE I",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-985-9215",
            "fax_number": "909-981-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D SAUTER DDS MDS ORTHO DENTAL GP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-985-9210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "20456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.