NPIMap

Organization Active NPI

Jamal Dental Corporation

  • Dentist
  • Pomona, CA
National Provider Identifier
1962619064
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43350 Issued in CA
Legal business name
JAMAL DENTAL CORPORATION
Practice address
2005 W Holt Ave
Pomona, CA 91768-3308
Phone
(909) 623-9590
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Manar Jamal, D.D.SNPI 1669522025
Title
President
Phone
(909) 623-9590

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 43350 CA Primary

Addresses

Primary practice location

2005 W Holt Ave
Pomona, CA 91768-3308

Mailing address

2005 W Holt Ave
Pomona, CA 91768-3308
Phone (909) 623-9590

Other names 1

  • Sahara Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jamal Dental Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2005 W Holt Ave
Pomona, CA 91768
Phone (909) 623-9590

Practitioners & affiliated clinicians

Practitioners 4

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1962619064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683308",
            "telephone_number": "909-623-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683308",
            "telephone_number": "909-623-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "MANAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-623-9590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sahara Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.