FELDKAMP CAL SELECT DENTAL GROUP, INC.
NPI 1417574401
Dentist - General Practice in Riverside, CA

Active since June 25, 2020
10683 MAGNOLIA AVE STE D, RIVERSIDE, CA 92505(951) 710-3925 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 8, 2020, Aug 18, 2020, Jun 25, 2020 (3 updates tracked since 2020).

  • Organization
  • Dentist
  • General Practice

About FELDKAMP CAL SELECT DENTAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Feldkamp Cal Select Dental Group, Inc., a provider established in Riverside, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1417574401 assigned on June 2020. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Irving Moore Feldkamp Iii Dds (Owner)

NPI
1417574401 Verify this NPI
Provider Name
FELDKAMP CAL SELECT DENTAL GROUP, INC.
Entity Type
Organization
Location Address
10683 MAGNOLIA AVE STE D RIVERSIDE, CA 92505
Location Phone
(951) 710-3925
Mailing Address
PO BOX 10669 SAN BERNARDINO, CA 92423
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2020
Last Update Date
09-08-2020
Code Navigator

A dentist like Feldkamp Cal Select Dental Group, Inc. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. IRVING MOORE FELDKAMP III DDS

Authorized Official Title
OWNER
Authorized Official Phone
(951) 710-3925

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1982016838MEDICAID (05)CA 

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
10683 MAGNOLIA AVE STE D
RIVERSIDE, CA 92505
Dentist (General Practice)
10683 MAGNOLIA AVE STE D
RIVERSIDE, CA 92505
Dentist (Oral and Maxillofacial Surgery)
10683 MAGNOLIA AVE STE D
RIVERSIDE, CA 92505
Dentist (General Practice)
10683 MAGNOLIA AVE STE D
RIVERSIDE, CA 92505
Dentist
10683 MAGNOLIA AVE STE D
RIVERSIDE, CA 92505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417574401, enumerated as an "organization" on June 25, 2020.

The provider is located at 10683 MAGNOLIA AVE STE D RIVERSIDE, CA 92505 and the phone number is (951) 710-3925.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.