Jordan Dobbin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108346 Issued in CA

Practice address

1629 S Riverside Ave
Rialto, CA 92376-7707

Phone

(909) 421-2225

Fax

(909) 421-2099

NPI assigned

Feb 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sudhakar R. Chokka, DDS, Inc.

  • General Practice Dentistry
  • Rialto, CA
  • NPI 1902991839
  NPD (past)

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1831895705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BARTON RD APT 2616",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735353",
            "telephone_number": "639-471-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 S RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767707",
            "telephone_number": "909-421-2225",
            "fax_number": "909-421-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBIN",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diakonia, Inc.
• Diana Ashouri MD Endocrinology & Weight Loss Medical Corporation
• Mia Diaz
• Silvia Diaz I
• Nathaniel Custodio Diwa
• Charles J. Dobbs, R.PH., MBA
• Karla Dominguez
• Dominion Transportation
• Donna Leffler Health Clinic
• Dove Tree Manor, Inc.

• General Practice Dentistry in Rialto, CA
• Providers in Rialto, 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 Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.