Active NPI
Lan Thai Dinh DDS Inc
- Dentist
- Ontario, CA
National Provider Identifier
1558484527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49743
- Legal business name
- LAN THAI DINH DDS INC
- Practice address
- 2920 S Archibald Ave
Suite C
Ontario, CA 91761-7364 - Phone
- (909) 923-2273
- Fax
- (909) 923-2284
- NPI assigned
- Apr 6, 2007
- Last updated
- Sep 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lan Thai Dinh, DDS
- Title
- President
- Phone
- (909) 923-2273
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49743 | CA | Primary |
Addresses
Primary practice location
2920 S Archibald Ave
Suite C
Ontario, CA 91761-7364
Mailing address
2920 S Archibald Ave
Suite C
Ontario, CA 91761-7364
Phone (909) 923-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114976347 | Other | CA | PREVIOUS NPI NUMBER |
| G9373301 | Other | CA | MEDI-CAL PROVIDER NUMBER |
Other names 1
- River Arch Dental Group
National Provider Directory
National Provider DirectoryLocations
2920 S Archibald Ave
Ste C
Ontario, CA 91761
Phone (909) 923-2273
Practitioners & affiliated clinicians
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.
-
- Dentist
- Ontario, CA
- NPI 1114976347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220659200000",
"number": "1558484527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 S ARCHIBALD AVE",
"address_2": "SUITE C",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917617364",
"telephone_number": "909-923-2273",
"fax_number": "909-923-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 S ARCHIBALD AVE",
"address_2": "SUITE C",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917617364",
"telephone_number": "909-923-2273",
"fax_number": "909-923-2284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAN THAI DINH DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2008-09-06",
"status": "A",
"authorized_official_last_name": "DINH",
"authorized_official_first_name": "LAN",
"authorized_official_middle_name": "THAI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-923-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREVIOUS NPI NUMBER",
"identifier": "1114976347",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER NUMBER",
"identifier": "G9373301",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "River Arch Dental Group",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.