Van Buren Modern Dentistry, Prof. Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VAN BUREN MODERN DENTISTRY, PROF. CORP.

Doing business as

Van Buren Modern Dentistry

Practice address

20115 Van Buren Blvd, Ste 100
Riverside, CA 92508

Phone

(951) 618-4079

Fax

(951) 616-3225

NPI assigned

Jul 2, 2026

Organization subpart

No

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

Authorized official

Name

Mohammed Tauqueer Shaikh

Title

Owner

Phone

(951) 618-4079

Specialties & licenses 1

Addresses

Other names 1

• Van Buren Modern Dentistry Doing business as

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

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1942127600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20115 VAN BUREN BLVD, STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92508",
            "telephone_number": "951-618-4079",
            "fax_number": "951-616-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN MODERN DENTISTRY, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "TAUQUEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-618-4079"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Buren Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raeann R Valles
• Irving Martin Serrano Valondo
• Claudia Valtierra Ortiz, BSHS
• Value Care Transportation LLC
• Nina Valverde
• Susan Jo Kagan Van Campen, LCSW
• Chelsea Van Gorder, OTD, OTR/L
• Betty Jo Van Horn, RN
• Carissa Van Horssen
• Nicole Renee Van Over, M.A.

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.