Daniel Samuel Kolta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113611 Issued in CA

Practice address

2071 Rancho Valley Dr Ste 140
Pomona, CA 91766-7105

Phone

(909) 374-1815

Fax

(909) 374-1042

NPI assigned

Aug 21, 2026

Last updated

Aug 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Awad and Moore Dental Corporation

  dba Pomona Dentistry Dental Group

  • Dentist
  • Pomona, CA
  • NPI 1033506282
  NPD (past)

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1588570352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 RANCHO VALLEY DR STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667105",
            "telephone_number": "909-374-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 RANCHO VALLEY DR STE 140",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917667105",
            "telephone_number": "909-374-1815",
            "fax_number": "909-374-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTA",
        "first_name": "DANIEL",
        "middle_name": "SAMUEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Kobak
• Ryan Anthony Koel
• Samantha Rita Koemans
• Sara Kohandani
• Negin Kohanfarsi
• Sudhakar Reddy Kona, MD
• Ewa Hanna Konca, MD
• Jenny Lynn Kong, PHARM D
• Joanne Ihm Koo, MD
• Sarah Kooda-Black

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, 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 Aug 21, 2026; 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.