NPIMap

Organization Active NPI

Hospitality Dental Group Inc

Doing business as Hospitality Dental & Orthodontics

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1902455694
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOSPITALITY DENTAL GROUP INC
Doing business as
Hospitality Dental & Orthodontics
Practice address
164 W Hospitality LN Ste 14
San Bernardino, CA 92408-3329
Phone
(909) 888-7817
Fax
(909) 495-1315
NPI assigned
Sep 5, 2019
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Josue Moran
Title
Director of Administrative Services
Phone
(909) 723-1044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

164 W Hospitality LN Ste 14
San Bernardino, CA 92408-3329

Mailing address

PO Box 10669
San Bernardino, CA 92423-0669
Phone (909) 723-1044

Other practice location 1

69730 Highway 111 Ste 105
Rancho Mirage, CA 92270-2873
Phone (760) 321-8869

Other practice location 2

77900 Fred Waring Dr
Palm Desert, CA 92211-8206
Phone (760) 360-7074

Other practice location 3

12051 Mariposa Rd Ste B
Hesperia, CA 92345-1613
Phone (760) 243-7957

Other practice location 4

8325 Haven Ave Ste 130
Rancho Cucamonga, CA 91730-3894
Phone (909) 989-3566

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherN/A

Other names 1

  • Hospitality Dental & Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://www.hospitalitydental.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1902455694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10669",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230669",
            "telephone_number": "909-723-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN STE 14",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083329",
            "telephone_number": "909-888-7817",
            "fax_number": "909-495-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69730 Highway 111 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922702873",
            "country_code": "US",
            "telephone_number": "760-321-8869",
            "fax_number": "909-495-1317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77900 Fred Waring Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922118206",
            "country_code": "US",
            "telephone_number": "760-360-7074",
            "fax_number": "909-495-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12051 Mariposa Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923451613",
            "country_code": "US",
            "telephone_number": "760-243-7957",
            "fax_number": "760-513-9975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8325 Haven Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303894",
            "country_code": "US",
            "telephone_number": "909-989-3566",
            "fax_number": "909-494-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPITALITY DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JOSUE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "909-723-1044"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.hospitalitydental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "164 W Hospitality Ln Ste 14",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924083329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hospitality Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.