JS LID DDS, INC. (NPI# 1720471055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720471055 |
| Entity Type | Organization |
| Organization Name | JS LID DDS, INC. |
| Practice Address |
9791 Baseline Rd. Rancho Cucamonga CA 91730 |
| Practice Telephone | 9099878779 |
| Practice Fax Number | 9099872815 |
| Mailing Telephone | 9099878779 |
| Mailing Fax Number | 9099872815 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | JOHNNY LID (PRESIDENT) |
| Authorized Official Telephone | 6763203611 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
51966 | CA | Dental Providers |
| Street Address |
9791 BASELINE RD. |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295225753 | Pinky D. Penalosa, Dmd Inc. | Dentist | 9203 Archibald Ave, Rancho Cucamonga, CA 91730-5207 | 2018-05-10 |
| 1578002291 | Lila Kakar | Dentist | 7210 Day Creek Blvd Ste 110, Rancho Cucamonga, CA 91739-7543 | 2017-02-14 |
| 1548686629 | Jia Y Lee Dds Inc | Dentist | 9477 Haven Ave, Rancho Cucamonga, CA 91730-5844 | 2014-03-12 |
| 1770928632 | John Hsieh Dental Corporation | Dentist | 7319 Milliken Ave Ste 110, Rancho Cucamonga, CA 91730-6794 | 2013-05-06 |
| 1093069106 | Puneet Wadhwa | Dentist | 12455 Victoria Gardens Ln Ste 190, Rancho Cucamonga, CA 91739-7534 | 2012-10-29 |
| 1225302151 | Marc Shryer | Dentist | 8639 1/2 Baseline Rd, Rancho Cucamonga, CA 91730-1111 | 2012-02-23 |
| 1164757811 | Alexander Duran Dental Corpotation | Dentist | 9267 Haven Ave Ste 160, Rancho Cucamonga, CA 91730-5430 | 2009-10-14 |
| 1265675318 | Jungwoo Seo Dds, Inc | Dentist | 7333 Hellman Ave., Rancho Cucamonga, CA 91730-1302 | 2009-04-18 |
| 1639319064 | Kevin Shige Kuniyoshi | Dentist | 7922 Day Creek Blvd Apt 6309, Rancho Cucamonga, CA 91739-8593 | 2009-02-25 |
| 1265615066 | Hsieh and Ghazal Dental Corporation | Dentist | 12455 Victoria Gardens Lane, Suite 190, Rancho Cucamonga, CA 91739 | 2007-12-14 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.