NPIMap

Organization Active NPI

San Dimas Dental Group

  • General Practice Dentistry
  • Glendora, CA
National Provider Identifier
1902013550
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27592 Issued in CA
Legal business name
SAN DIMAS DENTAL GROUP
Practice address
2220 E Route 66 Ste 107
Glendora, CA 91740-7600
Phone
(626) 857-4702
Fax
(626) 857-4703
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. John P Bunkers, DDSNPI 1083062749
Title
Managing Partner
Phone
(626) 857-4702

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27592 CA Primary

Addresses

Primary practice location

2220 E Route 66 Ste 107
Glendora, CA 91740-7600

Mailing address

2220 E Route 66 Ste 107
Glendora, CA 91740-7600
Phone (626) 857-4702

Other names 1

  • John P. Bunkers, Larry Lipkowski, Sadhana Savani Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John P Bunkers DDS2 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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1902013550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E ROUTE 66 STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917407600",
            "telephone_number": "626-857-4702",
            "fax_number": "626-857-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E ROUTE 66 STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917407600",
            "telephone_number": "626-857-4702",
            "fax_number": "626-857-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIMAS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "BUNKERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "626-857-4702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John P. Bunkers, Larry Lipkowski, Sadhana Savani",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.