Organization Active NPI

Isabella Piedra Professional Dental Corporation

  • Pediatric Dentistry
  • Palm Springs, CA
National Provider Identifier
1790943470
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
47307 Issued in CA
Legal business name
ISABELLA PIEDRA PROFESSIONAL DENTAL CORPORATION
Practice address
490 S Farrell Dr Ste C101
Palm Springs, CA 92262-7962
Phone
(760) 320-7621
NPI assigned
May 29, 2008
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Isabella Piedra, DDSNPI 1720154370
Title
Dentist
Phone
(909) 499-9093

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
Pediatric Dentistry 1223P0221X 47307 CA Primary

Addresses

Primary practice location

490 S Farrell Dr Ste C101
Palm Springs, CA 92262-7962

Mailing address

920 Melbury CT
Redlands, CA 92373-6322
Phone (909) 499-9093

Other identifiers 1

IdentifierTypeStateIssuer
47307OtherCADENTAL LICENCE

Other names 1

  • Children's Dentistry of Rancho Cucamonga Former legal business name

National Provider Directory

National Provider Directory

Locations

8004 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 483-6851

9469 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 483-6851

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1790943470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MELBURY CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736322",
            "telephone_number": "909-499-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S FARRELL DR STE C101",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627962",
            "telephone_number": "760-320-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA PIEDRA PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "PIEDRA",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-499-9093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "47307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "47307",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry of Rancho Cucamonga",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.