NPIMap

Organization Active NPI

Butay and Phui, Dental Corporation

Doing business as Neighborhood Smile

  • General Practice Dentistry
  • Upland, CA
National Provider Identifier
1285768721
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48887 Issued in CA
Legal business name
BUTAY AND PHUI, DENTAL CORPORATION
Doing business as
Neighborhood Smile
Neighborhood Smile Dental Care
Redhill Dental1 more in Other names
Practice address
265 N Euclid Ave
Upland, CA 91786-6038
Phone
(909) 985-8989
Fax
(909) 297-3008
NPI assigned
Mar 15, 2007
Last updated
Jul 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Nelson Butay, DDSNPI 1992898498
Title
Ceo
Phone
(909) 985-8989

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 48887 CA Primary

Addresses

Primary practice location

265 N Euclid Ave
Upland, CA 91786-6038

Mailing address

265 N Euclid Ave
Upland, CA 91786-6038
Phone (909) 985-8989

Other names 4

  • Neighborhood Smile Doing business as
  • Neighborhood Smile Dental Care Doing business as
  • Redhill Dental Doing business as
  • Waterman Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

265 N Euclid Ave
Upland, CA 91786
Phone (909) 985-8989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1285768721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866038",
            "telephone_number": "909-985-8989",
            "fax_number": "909-297-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866038",
            "telephone_number": "909-985-8989",
            "fax_number": "909-297-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTAY AND PHUI, DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "BUTAY",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-985-8989",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Smile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neighborhood Smile Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redhill Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waterman Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 17, 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.