Active NPI
Luzviminda V Dayrit DDS Inc.
Doing business as Sacred Heart Dental Care
- Dentist
- Rancho Cucamonga, CA
National Provider Identifier
1386049815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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 CARE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Luzviminda V Dayrit DDS Inc
- 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.
-
dba Pavilion Smile Dental Care
- Dental Clinic/Center
- Redlands, CA
- NPI 1366023335
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.
-
- General Practice Dentistry
- Rancho Cucamonga, CA
- NPI 1699822767
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"
}
]
}
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- Kheang Ly, D.C.
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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.