NPIMap

Organization Active NPI

Indiana Robleto D.D.S

  • General Practice Dentistry
  • Chino, CA
National Provider Identifier
1366642001
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30475 Issued in CA
Legal business name
INDIANA ROBLETO D.D.S
Practice address
12940 13TH St
Chino, CA 91710-4359
Phone
(909) 465-0111
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Indiana Robleto, D.D.SNPI 1447390414
Title
Owner
Phone
(909) 465-0111

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30475 CA Primary

Addresses

Primary practice location

12940 13TH St
Chino, CA 91710-4359

Mailing address

12940 13TH St
Chino, CA 91710-4359
Phone (909) 465-0111

National Provider Directory

National Provider Directory

Locations

12940 13th St
Chino, CA 91710
Phone (909) 465-0111

Practitioners & affiliated clinicians

Practitioners 1

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1366642001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12940 13TH ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104359",
            "telephone_number": "909-465-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 13TH ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104359",
            "telephone_number": "909-465-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA ROBLETO D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "ROBLETO",
        "authorized_official_first_name": "INDIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-465-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.