Organization Active NPI

Allure Dental

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1326408261
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46135 Issued in CA
Legal business name
ALLURE DENTAL
Practice address
1353 W Mill St
San Bernardino, CA 92410-2244
Phone
(909) 567-2024
Fax
(909) 453-0889
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Dr. Rajesh M Shah, DDS
Title
Partner
Phone
(951) 280-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46135 CA Primary

Addresses

Primary practice location

1353 W Mill St
San Bernardino, CA 92410-2244

Mailing address

1353 W Mill St
Suite 114
San Bernardino, CA 92410-2223
Phone (909) 567-2024

National Provider Directory

National Provider Directory
Tax ID family
Allure Dental2 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

1353 W Mill St
San Bernardino, CA 92410
Phone (909) 567-2024

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1326408261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 W MILL ST",
            "address_2": "SUITE 114",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102223",
            "telephone_number": "909-567-2024",
            "fax_number": "909-453-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 W MILL ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102244",
            "telephone_number": "909-567-2024",
            "fax_number": "909-453-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-280-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.