WONDERFUL LIFE DENTAL GROUP
NPI 1801623871
Clinic/Center - Dental in Rancho Cucamonga, CA
About Wonderful Life Dental Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WONDERFUL LIFE DENTAL GROUP (NPI 1801623871) is a healthcare organization registered as a dental in Rancho Cucamonga, California and active in the NPI registry since September 2024. The organization lists Jack Pai, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wonderful Life Dental Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wonderful Life Dental Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wonderful Life Dental Group's NPI number?
The NPI number for Wonderful Life Dental Group is 1801623871. It was assigned to this organization in the NPPES registry on September 16, 2024.
Where is Wonderful Life Dental Group located?
Wonderful Life Dental Group is located at 10470 Foothill Blvd # 250, Rancho Cucamonga, CA 91730. The listed phone number is (626) 757-9906.
What is Wonderful Life Dental Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Wonderful Life Dental Group enrolled in Medicare?
Yes. Wonderful Life Dental Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wonderful Life Dental Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Wonderful Life Dental Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wonderful Life Dental Group was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wonderful Life Dental Group · NPI 1801623871
Dental organization in Rancho Cucamonga, California. Organization record, active in the CMS NPPES registry since September 16, 2024.
## Identity
- **NPI:** 1801623871 (Entity type: Organization)
- **Enumerated:** September 16, 2024
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Jack Pai, CEO
## Practice location
- **Address:** 10470 FOOTHILL BLVD # 250, Rancho Cucamonga, CA 91730-3754
- **Phone:** (626) 757-9906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801623871) · Data from the CMS NPPES public registry.