Active NPI
P. Tiempetpaisal DDS Inc
- General Practice Dentistry
- Corona, CA
National Provider Identifier
1801039284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Panadda Tiempetpaisal, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Colton, CA
- NPI 1083820096
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.