Organization Active NPI

Michael J. Belton DDS,MD Inc.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Corona, CA
National Provider Identifier
1710354162
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
52203 Issued in CA
Legal business name
MICHAEL J. BELTON DDS,MD INC.
Practice address
2045 Compton Ave Ste 102
Corona, CA 92881-7293
Phone
(951) 537-2402
NPI assigned
Sep 1, 2015
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Michael J Belton, DDS,MD
Title
DDS,MD
Phone
(951) 537-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 52203 CA Primary

Addresses

Primary practice location

2045 Compton Ave Ste 102
Corona, CA 92881-7293

Mailing address

2045 Compton Ave Ste 102
Corona, CA 92881-7293
Phone (951) 537-2402

National Provider Directory

National Provider Directory

Locations

2045 Compton Ave
Ste 102
Corona, CA 92881
Phone (951) 537-2402

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1710354162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 COMPTON AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817293",
            "telephone_number": "951-537-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 COMPTON AVE STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817293",
            "telephone_number": "951-537-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. BELTON DDS,MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DDS,MD",
        "authorized_official_telephone_number": "951-537-2402",
        "authorized_official_credential": "DDS,MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "52203",
            "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 Jun 28, 2016; 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.