Active NPI
C B Patel DDS Inc
- Dental Clinic/Center
- Upland, CA
National Provider Identifier
1477126928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- C B PATEL DDS INC
- Practice address
- 1493 E Foothill Blvd
Upland, CA 91786-4054 - Phone
- (909) 946-6891
- Fax
- (909) 946-1361
- NPI assigned
- Jul 22, 2021
- 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
- Chandrakannt Balsinh Patel, DDS
- Title
- Ceo
- Phone
- (626) 862-1958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1493 E Foothill Blvd
Upland, CA 91786-4054
Mailing address
3286 S Welsummer Ave
Ontario, CA 91761-7977
Phone (626) 862-1958
National Provider Directory
National Provider DirectoryLocations
1493 E Foothill Blvd
Upland, CA 91786
Phone (909) 946-6891
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Ontario, CA
- NPI 1124293162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626912000000",
"number": "1477126928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3286 S WELSUMMER AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917617977",
"telephone_number": "626-862-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1493 E FOOTHILL BLVD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864054",
"telephone_number": "909-946-6891",
"fax_number": "909-946-1361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C B PATEL DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "CHANDRAKANNT",
"authorized_official_middle_name": "BALSINH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-862-1958",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.