Active NPI
Michael John Belton, DDS, MD INC
- Oral & Maxillofacial Surgery (D.M.D.)
- Rancho Cucamonga, CA
National Provider Identifier
1720174832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- A90801
- Practice address
- 10470 Foothill Blvd
Suite 122
Rancho Cucamonga, CA 91730-3754 - Phone
- (909) 989-2303
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 52203 | CA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | A90801 | CA | Primary |
Addresses
Primary practice location
10470 Foothill Blvd
Suite 122
Rancho Cucamonga, CA 91730-3754
Mailing address
9471 Jack Rabbit Dr
Unit 103
Rancho Cucamonga, CA 91730-2776
Phone (909) 483-6864
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90801 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1720174832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9471 JACK RABBIT DR",
"address_2": "UNIT 103",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917302776",
"telephone_number": "909-483-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 FOOTHILL BLVD",
"address_2": "SUITE 122",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303754",
"telephone_number": "909-989-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELTON",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "DDS, MD INC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52203",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "A90801",
"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 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.