Organization Active NPI

Karim Magid Zaklama Dental Corporation

  • Dentist
  • San Dimas, CA
National Provider Identifier
1639943889
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KARIM MAGID ZAKLAMA DENTAL CORPORATION
Doing business as
DENTISTS OF SAN DIMAS
Practice address
678 W Arrow Hwy
San Dimas, CA 91773-2958
Phone
(909) 643-8007
Fax
(909) 654-3031
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Karim Zaklama, DDS
Title
Owner
Phone
(909) 643-8007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

678 W Arrow Hwy
San Dimas, CA 91773-2958

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • DENTISTS OF SAN DIMAS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2340230Dentists of San Dimas678 West Arrow Hwy, San Dimas, CA 91773Certificate of waiverMar 12, 2028

National Provider Directory

National Provider Directory

Locations

678 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 618-1307

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": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1639943889",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 W ARROW HWY",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732958",
            "telephone_number": "909-643-8007",
            "fax_number": "909-654-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIM MAGID ZAKLAMA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "ZAKLAMA",
        "authorized_official_first_name": "KARIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-643-8007",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTISTS OF SAN DIMAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.