Organization Active NPI

Todd Ehrler Professional Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fontana, CA
National Provider Identifier
1780089938
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
49748 Issued in CA
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

Updated by the provider on Oct 31, 2014

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1184706483OtherCATODD BRIAN EHRLER, OFFICER, INDIVIDUAL NPI

Other names 1

  • Children's Dental Centers Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.