FELDKAMP CAL SELECT DENTAL GROUP, INC.
NPI 1790302784
Dentist - General Practice in Hesperia, CA

Active since June 25, 2020
15743 MAIN ST, HESPERIA, CA 92345(760) 981-1045 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 18, 2020, Jun 25, 2020 (2 updates tracked since 2020).

About Feldkamp Cal Select Dental Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FELDKAMP CAL SELECT DENTAL GROUP, INC. (NPI 1790302784) is a healthcare organization registered as a general practice in Hesperia, California and active in the NPI registry since June 2020. The organization lists Irving Moore Feldkamp Iii, Owner, as its authorized official.

NPPES Registry Identity

NPI1790302784
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFELDKAMP CAL SELECT DENTAL GROUP, INC.
Location Address15743 MAIN STHesperia, CA 92345-3410
Mailing AddressPo Box 10669San Bernardino, CA 92423-0669
Organization SubpartNo
Authorized OfficialIrving Moore Feldkamp IiiOwner · (909) 453-6600
Enumeration DateJune 25, 2020
Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
NPI 1790302784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
15743 MAIN ST, Hesperia, CA 92345

Other Identifiers 1

Medicaid19806838CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Feldkamp Cal Select Dental Group, Inc.'s NPI number?

The NPI number for Feldkamp Cal Select Dental Group, Inc. is 1790302784. It was assigned to this organization in the NPPES registry on June 25, 2020.

Where is Feldkamp Cal Select Dental Group, Inc. located?

Feldkamp Cal Select Dental Group, Inc. is located at 15743 Main St, Hesperia, CA 92345. The listed phone number is (760) 981-1045.

What is Feldkamp Cal Select Dental Group, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Feldkamp Cal Select Dental Group, Inc. was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.