Organization Active NPI

Vijaya R Cherukuri DDS Inc

  • Dentist
  • Chino, CA
National Provider Identifier
1295119444
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
034314 Issued in CA
Legal business name
VIJAYA R CHERUKURI DDS INC
Practice address
12850 10TH St Ste B2
Chino, CA 91710-4295
Phone
(909) 627-6699
Fax
(909) 627-6975
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Vijaya Cherukuri, DDSNPI 1407979248
Title
Dentist/Owner
Phone
(909) 627-6699

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 034314 CA Primary

Addresses

Primary practice location

12850 10TH St Ste B2
Chino, CA 91710-4295

Mailing address

12850 10TH St Ste B2
Chino, CA 91710-4295
Phone (909) 627-6699

Other names 1

  • Smile Artistry of Chino Valley Other name

National Provider Directory

National Provider Directory

Locations

12850 10th St
Ste B2
Chino, CA 91710
Phone (909) 627-6699

Practitioners & affiliated clinicians

Practitioners 1

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": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1295119444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 10TH ST STE B2",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104295",
            "telephone_number": "909-627-6699",
            "fax_number": "909-627-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 10TH ST STE B2",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104295",
            "telephone_number": "909-627-6699",
            "fax_number": "909-627-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA R CHERUKURI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "CHERUKURI",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "909-627-6699",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "034314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Artistry of Chino Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 17, 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.