Organization Active NPI

Dr. Ahuja and Dr. Gill'S Dental Office

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1659575579
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. AHUJA AND DR. GILL'S DENTAL OFFICE
Practice address
1584 W. Baseline Rd.
103
San Bernardino, CA 92410
Phone
(909) 885-3100
Fax
(909) 885-0300
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yolanda Parada
Title
Office Manager
Phone
(909) 885-3100

Specialties & licenses 1

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

Addresses

Primary practice location

1584 W. Baseline Rd.
103
San Bernardino, CA 92410

Mailing address

1584 W. Baseline Rd.
103
San Bernardino, CA 92410
Phone (909) 885-3100

National Provider Directory

National Provider Directory
Tax ID family
Dr Ahuja and Dr Gill'S Dental Office4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1584 W Base Line St
Ste 103
San Bernardino, CA 92411
Phone (909) 885-3100

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659575579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 W. BASELINE RD.",
            "address_2": "103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92410",
            "telephone_number": "909-885-3100",
            "fax_number": "909-885-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 W. BASELINE RD.",
            "address_2": "103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92410",
            "telephone_number": "909-885-3100",
            "fax_number": "909-885-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AHUJA AND DR. GILL'S DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARADA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-885-3100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.