Organization Active NPI

Colton Dental Group

  • Dentist
  • Colton, CA
National Provider Identifier
1659536399
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41386 Issued in CA
Legal business name
COLTON DENTAL GROUP
Practice address
251 E Valley Blvd
Colton, CA 92324-3005
Phone
(909) 825-0545
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COLTON DENTAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Dr. Sam Daniel Dason
Title
Dentist
Phone
(909) 825-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41386 CA Primary

Addresses

Primary practice location

251 E Valley Blvd
Colton, CA 92324-3005

Mailing address

251 E Valley Blvd
Colton, CA 92324-3005
Phone (909) 825-0545

National Provider Directory

National Provider Directory
Tax ID family
Colton Dental Group3 organizations share this tax ID, including this one
Part of
Colton Dental Group

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

251 E Valley Blvd
Colton, CA 92324
Phone (909) 825-0545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1659536399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243005",
            "telephone_number": "909-825-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243005",
            "telephone_number": "909-825-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTON DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLTON DENTAL GROUP",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "DASON",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-825-0545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.