Organization Active NPI

Redlands Endodontics

  • Endodontics
  • Redlands, CA
National Provider Identifier
1760987614
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
59904 Issued in CA
Legal business name
REDLANDS ENDODONTICS
Practice address
245 Terracina Blvd Suite 207 B
Redlands, CA 92373
Phone
(909) 798-2228
Fax
(909) 798-2224
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jenelle Meredith Silvers, DDSNPI 1053613968
Title
Endodontist
Phone
(717) 514-8227

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 59904 CA Primary

Addresses

Primary practice location

245 Terracina Blvd Suite 207 B
Redlands, CA 92373

Mailing address

245 Terracina Blvd Ste 207B
Redlands, CA 92373-4869
Phone (909) 798-2228

Other identifiers 1

IdentifierTypeStateIssuer
1053613968OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

245 Terracina Blvd
Ste 207B
Redlands, CA 92373
Phone (909) 798-2228

Practitioners & affiliated clinicians

Practitioners 2

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": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760987614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TERRACINA BLVD STE 207B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734869",
            "telephone_number": "909-798-2228",
            "fax_number": "909-798-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TERRACINA BLVD SUITE 207 B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-798-2228",
            "fax_number": "909-798-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SILVERS",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "717-514-8227",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "59904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1053613968",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.