Anil Mahajan DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D58280 Issued in CA

Legal business name

ANIL MAHAJAN DDS

Practice address

815 W Holt Blvd Ste 402
Ontario, CA 91762-3681

Phone

(909) 635-0444

Fax

(909) 635-0448

NPI assigned

Apr 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Anil Mahajan, DDS

Title

Owner

Phone

(909) 635-0444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1568857076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W HOLT BLVD STE 402",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623681",
            "telephone_number": "909-635-0444",
            "fax_number": "909-635-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W HOLT BLVD STE 402",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623681",
            "telephone_number": "909-635-0444",
            "fax_number": "909-635-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIL MAHAJAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-635-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D58280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Ontario, CA
• Providers in Ontario, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.