Organization Active NPI

Concord Modern Dentistry, Prof. Corp.

Doing business as Concord Modern Dentistry

  • General Practice Dentistry
  • Concord, CA
National Provider Identifier
1770420465
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CONCORD MODERN DENTISTRY, PROF. CORP.
Doing business as
Concord Modern Dentistry
Practice address
1150 Concord Ave Ste 180
Concord, CA 94520-5641
Phone
(925) 219-0099
Fax
(925) 270-2103
NPI assigned
Apr 30, 2026
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Japreet Singh Sran, DDS
Title
Owner
Phone
(925) 219-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1150 Concord Ave Ste 180
Concord, CA 94520-5641

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Concord Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1150 Concord Ave
Ste 180
Concord, CA 94520
Phone (925) 219-0099

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1770420465",
    "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",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CONCORD AVE STE 180",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205641",
            "telephone_number": "925-219-0099",
            "fax_number": "925-270-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD MODERN DENTISTRY, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "SRAN",
        "authorized_official_first_name": "JAPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-219-0099",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.