Smileneeds Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILENEEDS DENTAL

Practice address

1183 E Foothill Blvd
Suite150
Upland, CA 91786-4079

Phone

(909) 466-1245

Fax

(909) 912-8245

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mariano Castro, DDS

Title

Owner

Phone

(906) 466-1245

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jose Mariano Castro D D S Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jose Mariano Castro D D S Inc

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1043679061
  NPD tax ID

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1528250412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 E FOOTHILL BLVD",
            "address_2": "SUITE150",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864079",
            "telephone_number": "909-466-1245",
            "fax_number": "909-912-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 E FOOTHILL BLVD",
            "address_2": "SUITE150",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864079",
            "telephone_number": "909-466-1245",
            "fax_number": "909-912-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILENEEDS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-466-1245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D43911-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skinphysicians & Surgeons Medical Group, Inc.
• Skyline Medical Associates Inc
• Pamela Slocum
• Victoria Smalley
• Smile Studio
• Anthony W Smith
• Brenda Smith, NURSE PRACTITIONER
• Claire Smith
• Jamie Roshonnda Smith
• Jason M Smith, P.T.

• General Practice Dentistry in Upland, CA
• Providers in Upland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.