Gagneja Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

50112 Issued in CA

Legal business name

GAGNEJA DENTAL CORPORATION

Practice address

521 & 525 N. Laurel Ave.
Ontario, CA 91762-3213

Phone

(909) 983-1200

NPI assigned

Jul 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rajesh Kumar Gagneja

Title

President

Phone

(909) 983-1200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1659755874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 & 525 N. LAUREL AVE.",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623213",
            "telephone_number": "909-983-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 & 525 N. LAUREL AVE.",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623213",
            "telephone_number": "909-983-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGNEJA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "GAGNEJA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-983-1200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "D50112",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. RAJESH KUMAR GAGNEJA - NPI # 1730210659",
            "identifier": "1730210659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Christine Gabriel
• Reece Gabriel
• Araceli Gadea
• Dennis Lee Gaedig, O.D.
• Sofia Gaeta
• Rajesh Kumar Gagneja, DDS
• Bria Gaines
• Juliana Gaines
• Michaella Marie Yulienco Gaite, DO
• Katherine V Galdamez

• Dentist in Ontario, CA
• Providers in Ontario, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.