Miguel Uribe D.D.S Inc D.B.a Santa Cruz Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

44113 Issued in CA

Legal business name

MIGUEL URIBE D.D.S INC D.B.A SANTA CRUZ DENTAL

Practice address

228 W Base Line Rd
Rialto, CA 92376-3306

Phone

(909) 874-7421

Fax

(909) 879-1075

NPI assigned

Sep 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Miguel Uribe, D.D.S

Title

President

Phone

(909) 874-7421

Specialties & licenses 1

Addresses

Other names 1

• Santa Cruz Dental Office Doing business as

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1275816753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W BASE LINE RD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763306",
            "telephone_number": "909-874-7421",
            "fax_number": "909-879-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W BASE LINE RD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763306",
            "telephone_number": "909-874-7421",
            "fax_number": "909-879-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL URIBE D.D.S INC D.B.A SANTA CRUZ DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-874-7421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Charles Mendoza, PH.D.
• Wanda Meyer, FNP
• Ana B Meza, NP
• Shannon Michelle Meza
• Michael Chang Dental Corp
• Laurenza Mijares
• Zakia Nailah Miles
• Carla Miller
• Cynthia Miller
• Leilani Minjarez

• Dental Clinic/Center in Rialto, CA
• Providers in Rialto, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.