Dental Care of Rialto Inc

Primary specialty

DentistTaxonomy code 122300000X

License

41134 Issued in CA

Legal business name

DENTAL CARE OF RIALTO INC

Practice address

1817 N Riverside Ave
Rialto, CA 92376-8069

Phone

(909) 879-1024

Fax

(909) 879-1058

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Julie Tang, DDS

Title

Dentist

Phone

(909) 879-1024

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1285645465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768069",
            "telephone_number": "909-879-1024",
            "fax_number": "909-879-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768069",
            "telephone_number": "909-879-1024",
            "fax_number": "909-879-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF RIALTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-879-1024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41134",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Decker, LCSW
• Kameron D Dees
• Almi Kristine Del Villar, F.N.P.
• Mahogandy Dennis
• Victor Eduardo Dennis, DPT
• Department of Behavior Health
• Department of Behavioral Health, San Bernardino County Ca (Agewise)
• Department of Behaviour Health, SB County
• Designer Dentistry Group of Rialto
• Desired Change Therapeutic Solutions a Licensed Clinical Social Worker (Desired Change Therapeutic Solutions)

• Dentist in Rialto, CA
• Providers in Rialto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.