Active NPI
Robert Forrest O'Dell, DDS
- Dentist
- Upland, CA
National Provider Identifier
1659269694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 112776
- Practice address
- 1875 N Campus Ave Ste C
Upland, CA 91784-8211 - Phone
- (909) 985-2302
- NPI assigned
- Jun 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 112776 | CA | Primary |
Addresses
Primary practice location
1875 N Campus Ave Ste C
Upland, CA 91784-8211
Mailing address
338 W 7TH St
Claremont, CA 91711-4313
Phone (909) 374-1278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112776 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louis Stromberg Professional Dental Corporation | Past | Accepting new patients | |
| Dentists of Central Park, LLP | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Crossroads Dental Group
- General Practice Dentistry
- Upland, CA
- NPI 1174610638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1659269694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 W 7TH ST",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114313",
"telephone_number": "909-374-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 N CAMPUS AVE STE C",
"city": "UPLAND",
"state": "CA",
"postal_code": "917848211",
"telephone_number": "909-985-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "ROBERT",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "112776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.