Organization Active NPI

Dr.Bhagat Uppal & Shah'S Morningside Dental Group

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1326357245
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49562 Issued in CA
Legal business name
DR.BHAGAT UPPAL & SHAH'S MORNINGSIDE DENTAL GROUP
Doing business as
Morningside Dental Group
Practice address
14584 Baseline Ave
340
Fontana, CA 92336-1646
Phone
(909) 822-7374
Fax
(909) 822-7350
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Dr. Reena Khullar, D.D.S
Title
Managing Dentist
Phone
(909) 822-7374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 49562 CA Primary

Addresses

Primary practice location

14584 Baseline Ave
340
Fontana, CA 92336-1646

Mailing address

14584 Baseline Ave
340
Fontana, CA 92336-1646
Phone (909) 822-7374

Other names 1

  • Morningside Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Daycreek Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14584 Baseline Ave
Ste 340
Fontana, CA 92336
Phone (909) 822-7374

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1326357245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14584 BASELINE AVE",
            "address_2": "340",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361646",
            "telephone_number": "909-822-7374",
            "fax_number": "909-822-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14584 BASELINE AVE",
            "address_2": "340",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361646",
            "telephone_number": "909-822-7374",
            "fax_number": "909-822-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.BHAGAT UPPAL & SHAH'S MORNINGSIDE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "KHULLAR",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "909-822-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morningside Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 27, 2010; 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.