Organization Active NPI

Matt-Phuoc Trinh, DMD DDS, Inc

  • Dentist
  • Fontana, CA
National Provider Identifier
1306234976
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55574 Issued in CA
Legal business name
MATT-PHUOC TRINH, DMD DDS, INC
Practice address
17185 Arrow Blvd
Fontana, CA 92335-3972
Phone
(909) 822-4777
Fax
(909) 822-2926
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Dr. Matt-Phuoc Quy Trinh, D.M.D.
Title
C.E.O.
Phone
(909) 822-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 55574 CA Primary

Addresses

Primary practice location

17185 Arrow Blvd
Fontana, CA 92335-3972

Mailing address

17185 Arrow Blvd
Fontana, CA 92335-3972
Phone (909) 822-4777

National Provider Directory

National Provider Directory

Locations

17185 Arrow Blvd
Fontana, CA 92335
Phone (909) 587-2474

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1306234976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17185 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353972",
            "telephone_number": "909-822-4777",
            "fax_number": "909-822-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17185 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353972",
            "telephone_number": "909-822-4777",
            "fax_number": "909-822-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT-PHUOC TRINH, DMD DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "MATT-PHUOC",
        "authorized_official_middle_name": "QUY",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "909-822-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.