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DR. ANDRIANI ONGKORAHARDJO DDS
NPI 1902941669
Dentist - Pediatric Dentistry in Diamond Bar, CA

Active since February 20, 2007
660 N DIAMOND BAR BLVD STE 288, DIAMOND BAR, CA 91765(909) 396-0107(909) 396-0094 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2024, Apr 11, 2023, Sep 7, 2021 (3 updates tracked since 2021).

About Dr. Andriani Ongkorahardjo Dds NPPES

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

DR. ANDRIANI ONGKORAHARDJO DDS (NPI 1902941669) is an individual pediatric dentistry provider in Diamond Bar, California, licensed in California (46120) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1902941669
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ANDRIANI ONGKORAHARDJOCredential: DDS
Location Address660 N DIAMOND BAR BLVD STE 288Diamond Bar, CA 91765-1070
Mailing Address660 N Diamond Bar Blvd Ste 288Diamond Bar, CA 91765-1070 · (909) 396-0107 · Fax (909) 396-0094
Phone(909) 396-0107
Fax(909) 396-0094
Sole ProprietorYes
Enumeration DateFebruary 20, 2007
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1902941669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 46120
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
660 N DIAMOND BAR BLVD STE 288, Diamond Bar, CA 91765
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Andriani Ongkorahardjo's NPI number?

The NPI number for Andriani Ongkorahardjo is 1902941669. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Andriani Ongkorahardjo located?

Andriani Ongkorahardjo practices at 660 N Diamond Bar Blvd Ste 288, Diamond Bar, CA 91765. The listed phone number is (909) 396-0107.

What is Andriani Ongkorahardjo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Andriani Ongkorahardjo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Andriani Ongkorahardjo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andriani Ongkorahardjo was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.