NPIMap

Organization Active NPI

Fenny Virgin, DDS, Inc.

  • Dental Clinic/Center
  • Chino, CA
National Provider Identifier
1285183194
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FENNY VIRGIN, DDS, INC.
Practice address
4036 Grand Ave
Suite D
Chino, CA 91710-5487
Phone
(909) 627-9996
Fax
(909) 517-1035
NPI assigned
Oct 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Fenny Virgin, DDSNPI 1962578930
Title
President
Phone
(909) 627-9996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CA Primary

Addresses

Primary practice location

4036 Grand Ave
Suite D
Chino, CA 91710-5487

Mailing address

4036 Grand Ave
Suite D
Chino, CA 91710-5487
Phone (909) 627-9996

Other names 1

  • CHINO SPECTRUM DENTAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1285183194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 GRAND AVE",
            "address_2": "SUITE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105487",
            "telephone_number": "909-627-9996",
            "fax_number": "909-517-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 GRAND AVE",
            "address_2": "SUITE D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105487",
            "telephone_number": "909-627-9996",
            "fax_number": "909-517-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNY VIRGIN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "VIRGIN",
        "authorized_official_first_name": "FENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-627-9996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHINO SPECTRUM DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.