Active NPI
Todd Ehrler Professional Dental Corporation
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fontana, CA
National Provider Identifier
1780089938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 49748
- Legal business name
- TODD EHRLER PROFESSIONAL DENTAL CORPORATION
- Practice address
- 14976 Foothill Blvd
Suite 100
Fontana, CA 92335-7045 - Phone
- (909) 350-8730
- Fax
- (909) 350-8733
- NPI assigned
- Oct 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd Brian Ehrler, DDS
- Title
- President
- Phone
- (909) 851-2541
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 49748 | CA | Primary |
Addresses
Primary practice location
14976 Foothill Blvd
Suite 100
Fontana, CA 92335-7045
Mailing address
14976 Foothill Blvd
Suite 100
Fontana, CA 92335-7045
Phone (909) 350-8730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184706483 | Other | CA | TODD BRIAN EHRLER, OFFICER, INDIVIDUAL NPI |
Other names 1
- Children's Dental Centers
National Provider Directory
National Provider DirectoryLocations
14976 Foothill Blvd
Ste 100
Fontana, CA 92335
Phone (909) 350-8730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414713600000",
"number": "1780089938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14976 FOOTHILL BLVD",
"address_2": "SUITE 100",
"city": "FONTANA",
"state": "CA",
"postal_code": "923357045",
"telephone_number": "909-350-8730",
"fax_number": "909-350-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14976 FOOTHILL BLVD",
"address_2": "SUITE 100",
"city": "FONTANA",
"state": "CA",
"postal_code": "923357045",
"telephone_number": "909-350-8730",
"fax_number": "909-350-8733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODD EHRLER PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2014-10-31",
"status": "A",
"authorized_official_last_name": "EHRLER",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-851-2541",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "49748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TODD BRIAN EHRLER, OFFICER, INDIVIDUAL NPI",
"identifier": "1184706483",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Dental Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.