Active NPI
Princesita a. Billedo D.D.S., Inc
- General Practice Dentistry
- Ontario, CA
National Provider Identifier
1376722595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43420
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Princesita Asuncion Billedo, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Ontario, CA
- NPI 1477675668
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.