NPIMap

Organization Active NPI

Tony Daher DDS Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • Laverne, CA
National Provider Identifier
1760583124
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
TONY DAHER DDS INC
Practice address
1413 Foothill Blvd
#A
Laverne, CA 91750
Phone
(909) 596-6779
Fax
(909) 593-0969
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Dr. Tony Daher, DDSNPI 1225496771
Title
Dentist Owner
Phone
(909) 596-6779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30334 CA
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X Primary

Addresses

Primary practice location

1413 Foothill Blvd
#A
Laverne, CA 91750

Mailing address

1413 Foothill Blvd
#A
Laverne, CA 91750
Phone (909) 596-6779

National Provider Directory

National Provider Directory

Locations

1413 Foothill Blvd
Ste A
La Verne, CA 91750
Phone (909) 596-6779

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1760583124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 FOOTHILL BLVD",
            "address_2": "#A",
            "city": "LAVERNE",
            "state": "CA",
            "postal_code": "91750",
            "telephone_number": "909-596-6779",
            "fax_number": "909-593-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 FOOTHILL BLVD",
            "address_2": "#A",
            "city": "LAVERNE",
            "state": "CA",
            "postal_code": "91750",
            "telephone_number": "909-596-6779",
            "fax_number": "909-593-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY DAHER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "DAHER",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "909-596-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "30334",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laverne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.