Organization Active NPI

Chhotu Dental Corp

  • Dental Clinic/Center
  • Fontana, CA
National Provider Identifier
1508250010
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62863 Issued in CA
Legal business name
CHHOTU DENTAL CORP
Practice address
9647 Sierra Ave
Fontana, CA 92335-5716
Phone
(909) 823-5959
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Dr. Krupal Chhotu, DMDNPI 1538427182
Title
President
Phone
(951) 965-0552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 62863 CA Primary

Addresses

Primary practice location

9647 Sierra Ave
Fontana, CA 92335-5716

Mailing address

13787 Star Ruby Ave
Corona, CA 92880-5558
Phone (951) 965-0552

Other identifiers 1

IdentifierTypeStateIssuer
1538427182OtherCANPI

National Provider Directory

National Provider Directory

Locations

9647 Sierra Ave
Fontana, CA 92335
Phone (909) 823-5959

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1508250010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13787 STAR RUBY AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928805558",
            "telephone_number": "951-965-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9647 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923355716",
            "telephone_number": "909-823-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHHOTU DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "CHHOTU",
        "authorized_official_first_name": "KRUPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-965-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538427182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.