NPIMap

Organization Active NPI

Fratt Dental Corporation

Doing business as Eastvale Dental

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1366652422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FRATT DENTAL CORPORATION
Doing business as
Eastvale Dental
Practice address
12636 Limonite Ave # a
Corona, CA 92880-4200
Phone
(951) 808-4323
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

12636 Limonite Ave # a
Corona, CA 92880-4200

Mailing address

12636 Limonite Ave # a
Corona, CA 92880-4200
Phone (951) 808-4323

Other names 1

  • Eastvale Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nurani Mitchell Kim PC132 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

12636 Limonite Ave
#A
Corona, CA 92880
Phone (951) 808-4323

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366652422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12636 LIMONITE AVE # A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928804200",
            "telephone_number": "951-808-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12636 LIMONITE AVE # A",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928804200",
            "telephone_number": "951-808-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRATT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "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": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastvale Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.