Dr. Samra Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. SAMRA DENTAL CORP

Practice address

1667 N Mountain Ave Ste 125
Upland, CA 91784-1781

Phone

(909) 981-4711

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bhupinder Samra, DMDNPI 1881906584

Title

President

Phone

(909) 379-5060

Specialties & licenses 1

Addresses

Locations

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.

• Bhupinder S Samra, D.M.D

  • General Practice Dentistry
  • Bell, CA
  • NPI 1881906584
  NPD Authorized official
• Gary Totten, D.M.D.

  • General Practice Dentistry
  • Upland, CA
  • NPI 1033134127
  NPD (past)

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1437723152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 N TUSTIN ST STE 5",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653709",
            "telephone_number": "909-379-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 N MOUNTAIN AVE STE 125",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841781",
            "telephone_number": "909-981-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SAMRA DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "SAMRA",
        "authorized_official_first_name": "BHUPINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-379-5060",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Kevin M Jenkins DO Inc
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• Dr. Aram Yeliazyan DDS
• Dr. Kim Optometry Upland Inc
• Dr. Nancy Wang, OD, Inc.
• Dr. Scott N. Ballinger Psychological Corp.
• Dr. Younes Safa Dental Corp.
• Lynne Anne Drewes, PA
• Ethan Du
• Joanna Du, M.D.

• Dental Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.