Individual provider Active NPI

Ned Paniagua, DMD

  • General Practice Dentistry
  • Ontario, CA
National Provider Identifier
1417170754
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49968 Issued in CA
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

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
49968CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.