Organization Active NPI

Su Dentista de Confianza Dental Office

  • General Practice Dentistry
  • Pomona, CA
National Provider Identifier
1881842292
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SU DENTISTA DE CONFIANZA DENTAL OFFICE
Practice address
2127 N Towne Ave
Pomona, CA 91767-2422
Phone
(909) 397-5614
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Steven D Young, D.D.S.
Title
Owner
Phone
(714) 996-0941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CA Primary

Addresses

Primary practice location

2127 N Towne Ave
Pomona, CA 91767-2422

Mailing address

2127 N Towne Ave
Pomona, CA 91767-2422
Phone (909) 397-5614

National Provider Directory

National Provider Directory

Locations

2127 N Towne Ave
Pomona, CA 91767
Phone (909) 397-5614

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1881842292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672422",
            "telephone_number": "909-397-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672422",
            "telephone_number": "909-397-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SU DENTISTA DE CONFIANZA DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-996-0941",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.