Dr. Luis G. Vargas a Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. LUIS G. VARGAS A DENTAL CORPORATION

Practice address

965 S E St Ste N
San Bernardino, CA 92408-1940

Phone

(909) 885-6262

Fax

(909) 752-3574

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Luis G. Vargas, D.D.SNPI 1275693541

Title

Dentist

Phone

(909) 885-6262

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Gilberto Vargas, DDS

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1275693541
  NPD Authorized official

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1386250215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923460005",
            "telephone_number": "909-885-6262",
            "fax_number": "909-752-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S E ST STE N",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081940",
            "telephone_number": "909-885-6262",
            "fax_number": "909-752-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LUIS G. VARGAS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-885-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicoleta Dragan
• Sara Drake, OD
• Dreamhouse Community Health Network LLC

• Dental Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.