Organization Active NPI

Isabel Correa DDS, Inc.

  • General Practice Dentistry
  • Fontana, CA
National Provider Identifier
1659568848
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44157 Issued in CA
Legal business name
ISABEL CORREA DDS, INC.
Practice address
17171 Foothill Blvd
Suite B
Fontana, CA 92335-9047
Phone
(909) 427-0707
Fax
(909) 427-0776
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Isabel Correa, DDS
Title
Ceo
Phone
(909) 427-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44157 CA Primary

Addresses

Primary practice location

17171 Foothill Blvd
Suite B
Fontana, CA 92335-9047

Mailing address

17171 Foothill Blvd
Suite B
Fontana, CA 92335-9047
Phone (909) 427-0707

Other names 1

  • Comfort Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

17171 Foothill Blvd
Ste B
Fontana, CA 92335
Phone (909) 427-0707

Practitioners & affiliated clinicians

Practitioners 2

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1659568848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17171 FOOTHILL BLVD",
            "address_2": "SUITE B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923359047",
            "telephone_number": "909-427-0707",
            "fax_number": "909-427-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 FOOTHILL BLVD",
            "address_2": "SUITE B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923359047",
            "telephone_number": "909-427-0707",
            "fax_number": "909-427-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABEL CORREA DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-427-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 1, 2007; 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.