NPIMap

Organization Active NPI

Dr. Ahuja and Dr. Gill's Dental Office

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1437353653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D43412 Issued in CA
Legal business name
DR. AHUJA AND DR. GILL'S DENTAL OFFICE
Practice address
654 W 4TH St
Ste a
San Bernardino, CA 92410-3216
Phone
(909) 386-3650
Fax
(909) 386-3690
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eloisa Gonzalez
Title
Office Manager
Phone
(909) 386-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D43412 CA Primary

Addresses

Primary practice location

654 W 4TH St
Ste a
San Bernardino, CA 92410-3216

Mailing address

654 W 4TH St
Ste a
San Bernardino, CA 92410-3216
Phone (909) 386-3650

National Provider Directory

National Provider Directory
Tax ID family
Dr Ahuja and Dr Gill's Dental Office4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

654 W 4th St
#A
San Bernardino, CA 92410
Phone (909) 386-3650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437353653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W 4TH ST",
            "address_2": "STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103216",
            "telephone_number": "909-386-3650",
            "fax_number": "909-386-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W 4TH ST",
            "address_2": "STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103216",
            "telephone_number": "909-386-3650",
            "fax_number": "909-386-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AHUJA AND DR. GILL'S DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ELOISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-386-3650"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D43412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.