NPIMap

Organization Active NPI

Compean and Jefferson Dental Corporation

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1427140284
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMPEAN AND JEFFERSON DENTAL CORPORATION
Practice address
14305 Baseline Ave
Fontana, CA 92336-3631
Phone
(909) 355-1700
Fax
(909) 355-1707
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. Carlos Compean, DDS
Title
Owner DDS
Phone
(909) 355-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14305 Baseline Ave
Fontana, CA 92336-3631

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Triangle Dental Group And Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

14305 Baseline Ave
Fontana, CA 92336
Phone (909) 355-1700

Practitioners & affiliated clinicians

Practitioners 9

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1427140284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14305 BASELINE AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363631",
            "telephone_number": "909-355-1700",
            "fax_number": "909-355-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPEAN AND JEFFERSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "COMPEAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "909-355-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Dental Group And Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 19, 2015; 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.