NPIMap

Organization Active NPI

Banerjee Dental Corp

  • Dentist
  • Corona, CA
National Provider Identifier
1689913105
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53576 Issued in CA
Legal business name
BANERJEE DENTAL CORP
Practice address
2097 Compton Ave
Bldg1 Ste 102
Corona, CA 92881-7282
Phone
(951) 273-0555
Fax
(951) 273-1555
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Shikha Banerjee, D.D.S.
Title
Owner/Dentist
Phone
(951) 273-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53576 CA Primary

Addresses

Primary practice location

2097 Compton Ave
Bldg1 Ste 102
Corona, CA 92881-7282

Mailing address

2097 Compton Ave
Bldg1 Ste 102
Corona, CA 92881
Phone (951) 273-0555

National Provider Directory

National Provider Directory
Tax ID family
Banerjee Dental Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1689913105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE",
            "address_2": "BLDG1 STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "951-273-0555",
            "fax_number": "951-273-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE",
            "address_2": "BLDG1 STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817282",
            "telephone_number": "951-273-0555",
            "fax_number": "951-273-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANERJEE DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "BANERJEE",
        "authorized_official_first_name": "SHIKHA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "951-273-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.