Organization Active NPI

Jose M Sanchez Dental Corporation

  • Dental Clinic/Center
  • Pomona, CA
National Provider Identifier
1295343754
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSE M SANCHEZ DENTAL CORPORATION
Practice address
117 W Willow St Ste a
Pomona, CA 91768-1829
Phone
(909) 622-8818
Fax
(909) 622-8184
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Jose M Sanchez, DDS
Title
Owner
Phone
(909) 622-8818

Specialties & licenses 1

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

Addresses

Primary practice location

117 W Willow St Ste a
Pomona, CA 91768-1829

Mailing address

117 W Willow St Ste a
Pomona, CA 91768-1829
Phone (909) 622-8818

Other identifiers 1

IdentifierTypeStateIssuer
1487857413MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jmsdentcorp@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

117 W Willow St
#A
Pomona, CA 91768
Phone (909) 622-8818

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1295343754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W WILLOW ST STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681829",
            "telephone_number": "909-622-8818",
            "fax_number": "909-622-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W WILLOW ST STE A",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917681829",
            "telephone_number": "909-622-8818",
            "fax_number": "909-622-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M SANCHEZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-622-8818",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487857413",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jmsdentcorp@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "117 W Willow St Ste A",
            "city": "Pomona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917681829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.