NPIMap

Organization Active NPI

Summit Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fontana, CA
National Provider Identifier
1396744629
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
52662 Issued in CA
Legal business name
SUMMIT ORTHODONTICS
Practice address
15258 Summit Ave
Suite 300
Fontana, CA 92336-0233
Phone
(909) 646-9600
Fax
(909) 646-9878
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Henry Minh Nguyen, D.M.D.NPI 1902995186
Title
Orthodontist/Owner
Phone
(909) 646-9600

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 52662 CA Primary

Addresses

Primary practice location

15258 Summit Ave
Suite 300
Fontana, CA 92336-0233

Mailing address

15258 Summit Ave
Suite 300
Fontana, CA 92336-0233
Phone (909) 646-9600

National Provider Directory

National Provider Directory

Locations

15258 Summit Ave
Ste 300
Fontana, CA 92336
Phone (909) 646-9600

Practitioners & affiliated clinicians

Practitioners 2

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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1396744629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15258 SUMMIT AVE",
            "address_2": "SUITE 300",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360233",
            "telephone_number": "909-646-9600",
            "fax_number": "909-646-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15258 SUMMIT AVE",
            "address_2": "SUITE 300",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360233",
            "telephone_number": "909-646-9600",
            "fax_number": "909-646-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "909-646-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "52662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.