NPIMap

Organization Active NPI

S. Dave Srikureja DDS, a Professional Corporation

Doing business as Montclair Plaza Dental Group

  • Dental Clinic/Center
  • Montclair, CA
National Provider Identifier
1336734052
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
S. DAVE SRIKUREJA DDS, A PROFESSIONAL CORPORATION
Doing business as
Montclair Plaza Dental Group
Practice address
8660 Central Ave Ste a
Montclair, CA 91763-1692
Phone
(909) 920-0696
Fax
(909) 920-0517
NPI assigned
Mar 4, 2021
Organization subpart
Yes
Parent organization
S. DAVE SRIKUREJA DDS, A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Dr. Sutheep Dave Srikureja, DDSNPI 1962889006
Title
Dentist
Phone
(909) 920-0696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8660 Central Ave Ste a
Montclair, CA 91763-1692

Mailing address

8660 Central Ave Ste a
Montclair, CA 91763-1692
Phone (909) 920-0696

Other names 1

  • Montclair Plaza Dental Group Doing business as

National Provider Directory

National Provider Directory
Part of
S Dave Srikureja DDS a Professional Corporation

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1336734052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 CENTRAL AVE STE A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631692",
            "telephone_number": "909-920-0696",
            "fax_number": "909-920-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 CENTRAL AVE STE A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631692",
            "telephone_number": "909-920-0696",
            "fax_number": "909-920-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. DAVE SRIKUREJA DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "S. DAVE SRIKUREJA DDS, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "SRIKUREJA",
        "authorized_official_first_name": "SUTHEEP",
        "authorized_official_middle_name": "DAVE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-920-0696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montclair Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montclair Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.