Organization Active NPI

Krupakar Yeturu DDS Inc

  • Dental Clinic/Center
  • Ontario, CA
National Provider Identifier
1306194154
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
33417 Issued in CA
Legal business name
KRUPAKAR YETURU DDS INC
Practice address
203 W. Francis Street
Ontario, CA 91762
Phone
(909) 984-2476
Fax
(909) 984-2003
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Dr. Krupakar Yeturu, DDS
Title
Owner
Phone
(909) 984-2476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 33417 CA Primary

Addresses

Primary practice location

203 W. Francis Street
Ontario, CA 91762

Mailing address

203 W. Francis Street
Ontario, CA 91762
Phone (909) 984-2476

Other names 1

  • Ontario Chino Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

203 W Francis St
Ontario, CA 91762
Phone (909) 984-2476

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1306194154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W. FRANCIS STREET",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-984-2476",
            "fax_number": "909-984-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W. FRANCIS STREET",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "91762",
            "telephone_number": "909-984-2476",
            "fax_number": "909-984-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUPAKAR YETURU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "YETURU",
        "authorized_official_first_name": "KRUPAKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-984-2476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario Chino Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.