Inland Empire Dental Specialty Group

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

50740 Issued in CA

Legal business name

INLAND EMPIRE DENTAL SPECIALTY GROUP

Practice address

308 W State St
Ste. 4a
Redlands, CA 92373-4653

Phone

(909) 792-8440

Fax

(909) 792-9694

NPI assigned

Oct 21, 2015

Last updated

Oct 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Cho, DDS

Title

Owner

Phone

(909) 792-8440

Specialties & licenses 1

Addresses

Tax ID family

Inland Empire Dental Specialty Group2 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.

• Inland Empire Dental Specialty Group

  • Endodontics
  • Redlands, CA
  • NPI 1922433531
  NPD tax ID

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1275905093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W STATE ST",
            "address_2": "STE. 4A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734653",
            "telephone_number": "909-792-8440",
            "fax_number": "909-792-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W STATE ST",
            "address_2": "STE. 4A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734653",
            "telephone_number": "909-792-8440",
            "fax_number": "909-792-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE DENTAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-792-8440",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "50740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashlee Ingrodi, RN
• Inland Children's Therapy
• Inland Counseling Corporation
• Inland Empire Care Homes
• Inland Empire Colon and Rectal Surgeons
• Inland Empire Dental Specialty Group
• Inland Empire Ketamine Institute Inc
• Inland Empire Medical Diagnostic Imaging Services
• Inland Empire Residential Centers
• Inland Empire Shuttle Services

• Endodontics in Redlands, CA
• Providers in Redlands, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.