Organization Active NPI

Inland Dental Center Highland

  • Preferred Provider Organization
  • Highland, CA
National Provider Identifier
1891123196
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
38650 Issued in CA
Legal business name
INLAND DENTAL CENTER HIGHLAND
Practice address
6982 Boulder Ave
Highland, CA 92346-3328
Phone
(909) 862-2121
Fax
(909) 862-6648
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Anthony Quintin Boyd, DDS
Title
Dentist
Phone
(909) 862-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 38650 CA Primary

Addresses

Primary practice location

6982 Boulder Ave
Highland, CA 92346-3328

Mailing address

6982 Boulder Ave
Highland, CA 92346-3328
Phone (909) 862-2121

National Provider Directory

National Provider Directory
Tax ID family
Alicia Orthodontic Pediatric Specialties4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6982 Boulder Ave
Highland, CA 92346
Phone (909) 862-2121

Practitioners & affiliated clinicians

Practitioners 4

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": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1891123196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6982 BOULDER AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463328",
            "telephone_number": "909-862-2121",
            "fax_number": "909-862-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6982 BOULDER AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463328",
            "telephone_number": "909-862-2121",
            "fax_number": "909-862-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND DENTAL CENTER HIGHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "QUINTIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-862-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "38650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.