Organization Active NPI

Inland Dentistry, Inc

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1508094061
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43310 Issued in CA
Legal business name
INLAND DENTISTRY, INC
Practice address
10411 Magnolia Ave
Suite a
Riverside, CA 92505-1894
Phone
(951) 352-7260
Fax
(951) 352-6237
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mrs. Manuel R Arteaga, D.D.S.
Title
Dentist/Owner
Phone
(951) 352-7260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43310 CA Primary

Addresses

Primary practice location

10411 Magnolia Ave
Suite a
Riverside, CA 92505-1894

Mailing address

10411 Magnolia Ave
Suite a
Riverside, CA 92505-1894
Phone (951) 352-7260

Other identifiers 1

IdentifierTypeStateIssuer
719157OtherCAUNITED CONCORDIA

Other names 1

  • MANUEL ARTEAGA/ANGEL BOLOICO Former legal business name

National Provider Directory

National Provider Directory

Locations

10411 Magnolia Ave
Ste A
Riverside, CA 92505
Phone (951) 352-7260

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1508094061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051894",
            "telephone_number": "951-352-7260",
            "fax_number": "951-352-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051894",
            "telephone_number": "951-352-7260",
            "fax_number": "951-352-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "ARTEAGA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "951-352-7260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "719157",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANUEL ARTEAGA/ANGEL BOLOICO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.