NPIMap

Organization Active NPI

S. Sierra Plaza Dentistry, Inc.

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1528260346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52788 Issued in CA
Legal business name
S. SIERRA PLAZA DENTISTRY, INC.
Practice address
10660 South Sierra Ave.
# J
Fontana, CA 92336
Phone
(909) 428-0299
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thai Quoc VuNPI 1942356415
Title
DMD
Phone
(909) 428-0299

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52788 CA Primary

Addresses

Primary practice location

10660 South Sierra Ave.
# J
Fontana, CA 92336

Mailing address

10660 South Sierra Ave.
Suite # J
Fontana, CA 92336
Phone (909) 428-0299

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528260346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 SOUTH SIERRA AVE.",
            "address_2": "SUITE # J",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-428-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 SOUTH SIERRA AVE.",
            "address_2": "# J",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-428-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. SIERRA PLAZA DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "THAI",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "909-428-0299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52788",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.