Active NPI
Christine Son, DDS
- General Practice Dentistry
- Rancho Cucamonga, CA
National Provider Identifier
1669618062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57666
- Practice address
- 12223 Highland Ave
Ste 104
Rancho Cucamonga, CA 91739-2574 - Phone
- (909) 463-7890
- Fax
- (303) 463-7367
- NPI assigned
- Jan 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 57666 | CA | Primary |
Addresses
Primary practice location
12223 Highland Ave
Ste 104
Rancho Cucamonga, CA 91739-2574
Mailing address
1251 S Meadow LN
Unit 134
Colton, CA 92324-6481
Phone (714) 392-5132
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 |
|---|---|---|---|
| 57666 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1669618062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 S MEADOW LN",
"address_2": "UNIT 134",
"city": "COLTON",
"state": "CA",
"postal_code": "923246481",
"telephone_number": "714-392-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12223 HIGHLAND AVE",
"address_2": "STE 104",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917392574",
"telephone_number": "909-463-7890",
"fax_number": "303-463-7367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SON",
"first_name": "CHRISTINE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.