Organization Active NPI

S Merchant Dental Corporation

  • Dental Clinic/Center
  • Fontana, CA
National Provider Identifier
1629780994
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
S MERCHANT DENTAL CORPORATION
Practice address
11201 Sierra Ave Ste 1F
Fontana, CA 92337-7581
Phone
(909) 822-9090
Fax
(909) 822-9094
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Dr. Sanjay Amit Merchant, DDSNPI 1609320027
Title
Owner
Phone
(626) 968-3793

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11201 Sierra Ave Ste 1F
Fontana, CA 92337-7581

Mailing address

949 Ironshoe CT
Walnut, CA 91789-0909
Phone (909) 957-8267

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1629780994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 IRONSHOE CT",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917890909",
            "telephone_number": "909-957-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SIERRA AVE STE 1F",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377581",
            "telephone_number": "909-822-9090",
            "fax_number": "909-822-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MERCHANT DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-968-3793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.