NPIMap

Organization Active NPI

David C. Jen, DDS, Inc., a Dental Corporation

Doing business as Sunrise Dental Center

  • Endodontics
  • Rialto, CA
National Provider Identifier
1508264326
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
36159 Issued in CA
Legal business name
DAVID C. JEN, DDS, INC., A DENTAL CORPORATION
Doing business as
Sunrise Dental Center
Practice address
1727 N. Riverside Ave.
Rialto, CA 92376-8062
Phone
(909) 961-2068
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Dr. David C. Jen, DDSNPI 1508911884
Title
President
Phone
(626) 318-6318

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 36159 CA Primary

Addresses

Primary practice location

1727 N. Riverside Ave.
Rialto, CA 92376-8062

Mailing address

1727 N. Riverside Ave.
Rialto, CA 92376-8062
Phone (626) 318-6318

Other names 1

  • Sunrise Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1727 N Riverside Ave
Rialto, CA 92376
Phone (909) 820-9413

11834 Bryant St
Ste 102
Yucaipa, CA 92399
Phone (909) 797-8090

Practitioners & affiliated clinicians

Practitioners 3

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": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1508264326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 N. RIVERSIDE AVE.",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768062",
            "telephone_number": "626-318-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 N. RIVERSIDE AVE.",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768062",
            "telephone_number": "909-961-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. JEN, DDS, INC., A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "JEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-318-6318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "36159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.