Tadha Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50810 Issued in CA

Legal business name

TADHA DENTAL CORPORATION

Practice address

17643 Valley Blvd
Suite B
Bloomington, CA 92316-3905

Phone

(909) 877-0650

NPI assigned

Apr 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alpesh K Patel, D.D.S.

Title

Dentist

Phone

(909) 877-0650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1326168279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17643 VALLEY BLVD",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923163905",
            "telephone_number": "909-877-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17643 VALLEY BLVD",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923163905",
            "telephone_number": "909-877-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADHA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-877-0650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Spurgeon
• Cathleen Helen Tapp Stewart, DMD
• Marquece Stonestreet
• Poppi Stowe, LEP
• Catherine Sweat
• Emely Tarin
• Cathlene Ann Thompson, RNP
• Samantha Nicole Torres, MSW, ACSW
• Dina Tuel
• Andrea Christine Upton

• General Practice Dentistry in Bloomington, CA
• Providers in Bloomington, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.