Samir Tadha Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAMIR TADHA DENTAL CORPORATION

Practice address

1461 Ford St
Redlands, CA 92373

Phone

(909) 793-0111

NPI assigned

Jun 7, 2023

Organization subpart

No

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

Authorized official

Name

Samir Tadha, DDSNPI 1871661652

Title

Practice Owner

Phone

(909) 793-0111

Specialties & licenses 1

Addresses

Other names 1

• Redlands Family Dental Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samir M Tadha, D.D.S.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1871661652
  NPD (past) Authorized official
• Bryant Alejandro Hoyos, DDS

  • Dentist
  • Redlands, CA
  • NPI 1588399893
  NPD
• Sang Hun Kim, DDS

  • Dentist
  • Redlands, CA
  • NPI 1477128130
  NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1730873290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 FORD ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 FORD ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-793-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR TADHA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "TADHA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "909-793-0111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redlands Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salinas Family Counseling Inc
• Rosa Aurelia Salinas, MA, LMFT
• Jessy Salloum
• Alane Marie Samarza, PH.D.
• Samir E. Hage, D.O., Inc.
• Waffa Samuel
• San Bernardino County
• San Bernardino County Public Health Dept.
• San Bernardino County Superintendent of Schools
• San Bernardino County Superintendent of Schools

• General Practice Dentistry in Redlands, CA
• Providers in Redlands, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.