Jeffrey Dharmawan DDS.Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

33276 Issued in CA

Legal business name

JEFFREY DHARMAWAN DDS.INC

Doing business as

none

Practice address

190 W H St Suite 100
Colton, CA 92324

Phone

(909) 825-1155

Fax

(909) 825-0275

NPI assigned

Apr 16, 2014

Last updated

Apr 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Dharmawan, DDSNPI 1427107382

Title

Dentist

Phone

(909) 825-1155

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

Locations

Practitioners 1

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.

• Jeffrey Dharmawan, DDS

  • General Practice Dentistry
  • Colton, CA
  • NPI 1427107382
  NPD (past) Authorized official

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1528487634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W H ST STE 100",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242937",
            "telephone_number": "909-825-1155",
            "fax_number": "909-825-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W H ST SUITE 100",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-825-1155",
            "fax_number": "909-825-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY DHARMAWAN DDS.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "DHARMAWAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-825-1155",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Jang
• Hripsime Rita Jaratanyan, MD
• Ruchi Jariwala, MD
• Fargol Javaherian, MD
• Jeannie H. Chau's Rainbow Chiropractic, Inc. (Rainbow Chiropractic)
• Jeffrey N. Roberts MD a Medical Corporation
• Phoebe Jen, DO
• Brandina Gabrielle Jensen, RN
• Jennifer Lynn Jensen, PA-C
• Yeong Je Jeong, MD

• Dental Clinic/Center in Colton, CA
• Providers in Colton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.