Active NPI
Feldkamp Cal Select Dental Group, Inc.
- General Practice Dentistry
- Rancho Cucamonga, CA
National Provider Identifier
1427675412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FELDKAMP CAL SELECT DENTAL GROUP, INC.
- Practice address
- 8325 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-3894 - Phone
- (909) 332-6980
- NPI assigned
- Jun 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irving Moore Feldkamp III, DDS
- Title
- Owner
- Phone
- (909) 332-6980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
8325 Haven Ave Ste 120
Rancho Cucamonga, CA 91730-3894
Mailing address
PO Box 10669
San Bernardino, CA 92423-0669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982016838 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.calselectdental.com |
National Provider Directory
National Provider Directory- Tax ID family
- Feldkamp Cal Select Dental Group Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- San Bernardino, CA
- NPI 1295213239
-
- General Practice Dentistry
- Riverside, CA
- NPI 1417574401
-
- General Practice Dentistry
- San Bernardino, CA
- NPI 1669036117
-
- General Practice Dentistry
- Hesperia, CA
- NPI 1790302784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599523200000",
"number": "1427675412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10669",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 HAVEN AVE STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303894",
"telephone_number": "909-332-6980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FELDKAMP CAL SELECT DENTAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-25",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A",
"authorized_official_last_name": "FELDKAMP III",
"authorized_official_first_name": "IRVING",
"authorized_official_middle_name": "MOORE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-332-6980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982016838",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.calselectdental.com",
"affiliation": "N",
"address_1": "8325 Haven Ave Ste 120",
"city": "Rancho Cucamonga",
"state": "CA",
"country_code": "US",
"postal_code": "917303894",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.