Organization Active NPI

Luzviminda V Dayrit DDS Inc.

Doing business as Sacred Heart Dental Care

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1386049815
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LUZVIMINDA V DAYRIT DDS INC.
Doing business as
Sacred Heart Dental Care
Practice address
12802 Foothill Blvd Ste 103
Rancho Cucamonga, CA 91739-9379
Phone
(909) 463-6646
Fax
(909) 463-6866
NPI assigned
Oct 27, 2014
Organization subpart
Yes
Parent organization
SACRED HEART DENTAL CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Mrs. Luzviminda M Dayrit, D.D.S
Title
Owner / Dentist
Phone
(909) 463-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

12802 Foothill Blvd Ste 103
Rancho Cucamonga, CA 91739-9379

Mailing address

12802 Foothill Blvd Ste 103
Rancho Cucamonga, CA 91739-9379
Phone (909) 463-6646

Other names 1

  • Sacred Heart Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Luzviminda V Dayrit DDS Inc2 organizations share this tax ID, including this one
Part of
Luzviminda V Dayrit DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12802 Foothill Blvd
Ste 103
Rancho Cucamonga, CA 91739
Phone (909) 463-6646

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": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1386049815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 FOOTHILL BLVD STE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399379",
            "telephone_number": "909-463-6646",
            "fax_number": "909-463-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 FOOTHILL BLVD STE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917399379",
            "telephone_number": "909-463-6646",
            "fax_number": "909-463-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZVIMINDA V DAYRIT DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRED HEART DENTAL CARE",
        "enumeration_date": "2014-10-27",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "DAYRIT",
        "authorized_official_first_name": "LUZVIMINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "909-463-6646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Dental Care",
            "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 May 13, 2021; 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.