Organization Active NPI

Princesita a. Billedo D.D.S., Inc

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1376722595
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43420 Issued in CA
Legal business name
PRINCESITA A. BILLEDO D.D.S., INC
Practice address
1755 S Mountain Ave
Ste. a
Ontario, CA 91762-5972
Phone
(909) 460-7776
Fax
(909) 460-7677
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Princesita Asuncion Billedo, DDSNPI 1477675668
Title
President
Phone
(909) 460-7776

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 43420 CA Primary

Addresses

Primary practice location

1755 S Mountain Ave
Ste. a
Ontario, CA 91762-5972

Mailing address

1755 S Mountain Ave
Ste. a
Ontario, CA 91762-5972
Phone (909) 460-7776

Other names 1

  • MOUNTAIN DENTAL FITNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1755 S Mountain Ave
Ste A
Ontario, CA 91762
Phone (909) 317-8486

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1376722595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 S MOUNTAIN AVE",
            "address_2": "STE. A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625972",
            "telephone_number": "909-460-7776",
            "fax_number": "909-460-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 S MOUNTAIN AVE",
            "address_2": "STE. A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625972",
            "telephone_number": "909-460-7776",
            "fax_number": "909-460-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESITA A. BILLEDO D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "BILLEDO",
        "authorized_official_first_name": "PRINCESITA",
        "authorized_official_middle_name": "ASUNCION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-460-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN DENTAL FITNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.