Organization Active NPI

P. Tiempetpaisal DDS Inc

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1801039284
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
P. TIEMPETPAISAL DDS INC
Practice address
910 Washburn Ave
Suite D
Corona, CA 92882-4383
Phone
(951) 963-4297
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Panadda Tiempetpaisal, DDSNPI 1083820096
Title
Owner
Phone
(951) 963-4297

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

910 Washburn Ave
Suite D
Corona, CA 92882-4383

Mailing address

199 Oldenburg LN
Norco, CA 92860-3953
Phone (951) 963-4297

Other names 1

  • Soft Care Dental Doing business as

National Provider Directory

National Provider Directory

Locations

910 Washburn Ave
Ste D
Corona, CA 92882
Phone (951) 735-5460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1801039284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 OLDENBURG LN",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603953",
            "telephone_number": "951-963-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WASHBURN AVE",
            "address_2": "SUITE D",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928824383",
            "telephone_number": "951-963-4297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. TIEMPETPAISAL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "TIEMPETPAISAL",
        "authorized_official_first_name": "PANADDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-963-4297",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soft Care Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.