Qurban Dental Corproation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

QURBAN DENTAL CORPROATION

Practice address

15850 Soquel Canyon Pkwy
Suite a
Chino Hills, CA 91709

Phone

(909) 375-0133

Fax

(909) 295-6680

NPI assigned

Jan 11, 2018

Organization subpart

No

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

Authorized official

Name

Shafaq Qurban, DDS

Title

Owner Dentist

Phone

(909) 375-0133

Specialties & licenses 1

Addresses

Other names 1

• The Dental Office On Soquel Canyon Doing business as

Locations

Practitioners 3

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

• Pouya Ansari, DMD

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1891413274
  NPD (past)
• Taleen Judy Davidian, DDS

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1376216002
  NPD (past)
• Shufang Tan, DMD

  • General Practice Dentistry
  • Chino Hills, CA
  • NPI 1528793858
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1538677604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 SOQUEL CANYON PKWY",
            "address_2": "SUITE A",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-375-0133",
            "fax_number": "909-295-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QURBAN DENTAL CORPROATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "QURBAN",
        "authorized_official_first_name": "SHAFAQ",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "909-375-0133",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dental Office On Soquel Canyon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geoffrey Putnam, MA BCBA
• Taylor Shannon Quaranta
• Quinn Yu DDS Corp
• Erika Quintero
• Jose Alexandro Quirarte, AMFT
• Britny Janique Ragland
• Rainbow Chung-Ou, MD, a Professional Corporation
• Mary Rambayon, LMFT
• Carla Rita Rambo
• Yocelyn Ramirez-Pena

• General Practice Dentistry in Chino Hills, CA
• Providers in Chino Hills, 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 Feb 4, 2022; 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.