Active NPI
Ned Paniagua, DMD
- General Practice Dentistry
- Ontario, CA
National Provider Identifier
1417170754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49968
- Practice address
- 533 W Holt Blvd
Ontario, CA 91762-3732 - Phone
- (909) 988-1992
- Fax
- (909) 988-0542
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49968 | CA | Primary |
Addresses
Primary practice location
533 W Holt Blvd
Ontario, CA 91762-3732
Mailing address
533 W Holt Blvd
Ontario, CA 91762-3732
Phone (909) 988-1992
Other practice location 1
1817 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 879-1024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49968 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paniagua DDS a Dental Corporation | General Practice | Current | Accepting new patients |
| Ned Paniagua, DMD a Professional Corporation | Past | Accepting new patients | |
| Ontario Village Dental | Past | Accepting new patients |
Locations
1817 N Riverside Ave
Rialto, CA 92376
Phone (909) 879-1024
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Rialto, CA
- NPI 1609655349
-
- Public Health Dentistry
- Ontario, CA
- NPI 1548630940
-
- Dentist
- Ontario, CA
- NPI 1194821058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1417170754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W HOLT BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623732",
"telephone_number": "909-988-1992",
"fax_number": "909-988-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 W HOLT BLVD",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917623732",
"telephone_number": "909-988-1992",
"fax_number": "909-988-0542"
}
],
"practiceLocations": [
{
"address_1": "1817 N Riverside Ave",
"address_purpose": "LOCATION",
"city": "Rialto",
"state": "CA",
"postal_code": "923768069",
"country_code": "US",
"telephone_number": "909-879-1024",
"fax_number": "909-879-1058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PANIAGUA",
"first_name": "NED",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.