Organization Active NPI

Stromberg Professional Dental Corporation

  • General Practice Dentistry
  • Victorville, CA
National Provider Identifier
1841354032
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STROMBERG PROFESSIONAL DENTAL CORPORATION
Doing business as
DESERT SKY DENTAL GROUP
Practice address
15667 Roy Rogers Dr
Ste. 101
Victorville, CA 92394
Phone
(760) 843-5824
Fax
(760) 843-5960
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Louis Z Stromberg, DDS
Title
Owner DDS
Phone
(760) 843-5824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15667 Roy Rogers Dr
Ste. 101
Victorville, CA 92394

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • DESERT SKY DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Desert Sky Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15667 Roy Rogers Dr
Ste 101
Victorville, CA 92394
Phone (760) 843-5824

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1841354032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15667 ROY ROGERS DR",
            "address_2": "STE. 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92394",
            "telephone_number": "760-843-5824",
            "fax_number": "760-843-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROMBERG PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "760-843-5824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESERT SKY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.