Organization Active NPI

N Ozder Dental Practice Inc

  • Dental Clinic/Center
  • Chino, CA
National Provider Identifier
1922580992
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
N OZDER DENTAL PRACTICE INC
Practice address
12233 Central Ave
Chino, CA 91710-2423
Phone
(909) 628-0208
Fax
(909) 627-3372
NPI assigned
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Necdet Ozder, DDS
Title
Owner
Phone
(661) 202-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12233 Central Ave
Chino, CA 91710-2423

Mailing address

1530 E Golden Valley Way
Fresno, CA 93730-3587
Phone (661) 202-0454

Other names 1

  • Ocean Dental Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1922580992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E GOLDEN VALLEY WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937303587",
            "telephone_number": "661-202-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12233 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102423",
            "telephone_number": "909-628-0208",
            "fax_number": "909-627-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N OZDER DENTAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "OZDER",
        "authorized_official_first_name": "NECDET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-202-0454",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.