Cooley Ranch Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COOLEY RANCH DENTAL GROUP

Practice address

1636 E Washington St
Colton, CA 92324-4605

Phone

(909) 825-3210

Fax

(909) 884-4697

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Viajy B Patel

Title

Owner/Dentist

Phone

(909) 825-3210

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sydney Dawson, DDS

  • General Practice Dentistry
  • Redlands, CA
  • NPI 1114673571
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1417304841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244605",
            "telephone_number": "909-825-3210",
            "fax_number": "909-884-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244605",
            "telephone_number": "909-825-3210",
            "fax_number": "909-884-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLEY RANCH DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIAJY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-825-3210"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Constanza
• Sarah Rose Contreras, FNP
• Curtis Daniel Converse, D.O.
• James Cook
• Pamela L Cook
• Daisy Rosahura Cordova
• Vidal Luis Cordova Jr.
• Martha Yesenia Corleto Valdez, LCSW
• Rickey Lee Corley
• Daniel Alejandro Cornejo, PA

• General Practice Dentistry in Colton, CA
• Providers in Colton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.