NPIMap

Organization Active NPI

Luzviminda V Dayrit DDS Inc

Doing business as Pavilion Smile Dental Care

  • Dental Clinic/Center
  • Redlands, CA
National Provider Identifier
1366023335
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LUZVIMINDA V DAYRIT DDS INC
Doing business as
Pavilion Smile Dental Care
Practice address
2094 W Redlands Blvd Ste F
Redlands, CA 92373-6266
Phone
(909) 792-0500
Fax
(909) 792-0598
NPI assigned
Apr 20, 2021
Organization subpart
Yes
Parent organization
PAVILION SMILE DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Luzviminda V Dayrit, DDSNPI 1699822767
Title
Dentist/Owner
Phone
(909) 463-6646

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

2094 W Redlands Blvd Ste F
Redlands, CA 92373-6266

Mailing address

5680 Grata Vista CT
Rancho Cucamonga, CA 91737-2350
Phone (951) 756-4780

Other names 1

  • Pavilion Smile Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Luzviminda V Dayrit DDS Inc2 organizations share this tax ID, including this one
Part of
Luzviminda V Dayrit DDS Inc

Other organizations with this tax ID 1

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

Locations

2094 W Redlands Blvd
Ste F
Redlands, CA 92373
Phone (909) 335-0500

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": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1366023335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 GRATA VISTA CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917372350",
            "telephone_number": "951-756-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 W REDLANDS BLVD STE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736266",
            "telephone_number": "909-792-0500",
            "fax_number": "909-792-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZVIMINDA V DAYRIT DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAVILION SMILE DENTAL CARE",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "DAYRIT",
        "authorized_official_first_name": "LUZVIMINDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "909-463-6646",
        "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": "Pavilion Smile Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.