Nikolas Matias Pintos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110938 Issued in CA

Practice address

27949 Greenspot Rd Ste H
Highland, CA 92346-4444

Phone

(909) 363-8770

NPI assigned

Oct 15, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1427878453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11067 SAN JUAN ST UNIT 2",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542789",
            "telephone_number": "509-240-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27949 GREENSPOT RD STE H",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464444",
            "telephone_number": "909-363-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINTOS",
        "first_name": "NIKOLAS",
        "middle_name": "MATIAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Monique Peters
• Kelly Kim Dung Pham, PHARMD
• Paul P Pham, M.D.
• Hai Thuong Phan, MD
• Natalie Aliyah Pineda
• Monica Renee Ponce de Leon
• Jocelyn Vanessa Portillo, BS
• Justin Prasad
• Preferred Therapy Services Inc
• Albert Quan, DO

• General Practice Dentistry in Highland, CA
• Providers in Highland, 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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.