Organization Active NPI

Dental Practice of a.F. Concepcion

Doing business as Lovely Dental

  • Dental Clinic/Center
  • Upland, CA
National Provider Identifier
1932779618
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL PRACTICE OF A.F. CONCEPCION
Doing business as
Lovely Dental
Practice address
130 S Mountain Ave Ste G
Upland, CA 91786-6269
Phone
(909) 931-9510
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Dr. Anthony Frederick Concepcion, DDSNPI 1992852669
Title
Owner
Phone
(909) 931-9510

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

130 S Mountain Ave Ste G
Upland, CA 91786-6269

Mailing address

7605 Silver Oak PL
Rancho Cucamonga, CA 91739-8803
Phone (909) 463-0073

Other names 1

  • Lovely Dental Doing business as

National Provider Directory

National Provider Directory

Locations

130 S Mountain Ave
Ste G
Upland, CA 91786
Phone (909) 931-9510

Practitioners & affiliated clinicians

Practitioners 1

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": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1932779618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 SILVER OAK PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398803",
            "telephone_number": "909-463-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MOUNTAIN AVE STE G",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866269",
            "telephone_number": "909-931-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PRACTICE OF A.F. CONCEPCION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-931-9510",
        "authorized_official_name_prefix": "Dr.",
        "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": "Lovely Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.