Sumilat DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUMILAT DDS, INC.

Practice address

11481 Heacock St Ste 160
Moreno Valley, CA 92557-7906

Phone

(909) 824-3126

NPI assigned

Jan 14, 2020

Last updated

Jan 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Sumilat, DDSNPI 1679752653

Title

C.E.O.

Phone

(909) 824-3126

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James M Sumilat, D.D.S.

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1679752653
  NPD Authorized official
• John James Sumilat

  • Physical Therapist
  • Victorville, CA
  • NPI 1992421200

  Single Specialty

  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1790325140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 PRADO LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249545",
            "telephone_number": "909-824-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK ST STE 160",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577906",
            "telephone_number": "909-824-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMILAT DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "SUMILAT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "909-824-3126",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Alina Suarez, CCC-SLP
• Hildelisa Nicole Suarez
• Deana Kay Sudler, MFT
• Akihiro Sugiyama, M.D.
• Angie Suh, PHARMD
• Summerbreeze Congregate Living
• April Sun, MD
• Sung W Cho DDS, Inc (Sunnymead Village Dental Group)
• Han-Lin Sung, MD
• Sunnymead Ranch Dental Center

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.