Fontana Modern Dentistry, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FONTANA MODERN DENTISTRY, INC

Practice address

10189 Citrus Ave
Suite 500
Fontana, CA 92335

Phone

(909) 657-2736

NPI assigned

Apr 9, 2025

Organization subpart

No

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

Authorized official

Name

Jason Sun

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ameyalli Moya, DDS

  • Dentist
  • Fontana, CA
  • NPI 1679408975
  NPD (past)

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1730974007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10189 CITRUS AVE",
            "address_2": "SUITE 500",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-657-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTANA MODERN DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fontana Artificial Limb & Brace Inc.
• Fontana Chiropractic and Acupuncture
• Fontana Dental Clinic
• Fontana Family Acupuncture Inc.
• Fontana Healthcare, LLC
• Fontana Optometric Group, Inc.
• Fontana Physicians Associates a Medical Corporation
• Fontana Treatment Center
• Fontana Unified School District
• Fontana Unified School District

• General Practice Dentistry in Fontana, CA
• Providers in Fontana, 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 Jul 30, 2025; 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.