NPIMap

Organization Active NPI

Fratt Dental Corporation

  • General Practice Dentistry
  • Rancho Cucamonga, CA
National Provider Identifier
1366650830
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRATT DENTAL CORPORATION
Practice address
11561 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-3999
Phone
(909) 483-7811
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Authorized official

Name
Dr. Dennis R Fratt, DDS
Title
Owner
Phone
(714) 428-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11561 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-3999

Mailing address

11561 Foothill Blvd Ste 104
Rancho Cucamonga, CA 91730-3999
Phone (909) 483-7811

Other names 1

  • Foothill Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fratt Dental Corporation132 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

11561 Foothill Blvd
Ste 104
Rancho Cucamonga, CA 91730
Phone (909) 483-7811

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1366650830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11561 FOOTHILL BLVD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303999",
            "telephone_number": "909-483-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11561 FOOTHILL BLVD STE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303999",
            "telephone_number": "909-483-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRATT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "FRATT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-428-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.