Active NPI
Matt-Phuoc Trinh, DMD DDS, Inc
- Dentist
- Fontana, CA
National Provider Identifier
1306234976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55574
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.