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K.Sumardi DDS Inc.

K.Sumardi DDS Inc. is a healthcare organization registered as General Practice Dentistry in La Verne, CA, holding Type 2 (organization) NPI 1942603105 since 2014. The authorized official on file is Kusumo Sumardi, President.

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NPI 1942603105
Entity type Organization (Type 2)
Legal business name K.Sumardi DDS Inc.
Practice address 1965 FOOTHILL BLVD STE L, La Verne, CA, 91750
Phone 9095966500
Fax 9095968809
Enumeration date 2014-10-02
Last updated in NPPES 2014-10-02

Authorized official

Name Kusumo Sumardi
Title President
Phone 9095966500

Taxonomy & classification

Taxonomy code Specialty Primary License State
1223G0001X General Practice Dentistry Primary 41680 CA
Copy-ready billing details
Provider: K.Sumardi DDS Inc.
NPI: 1942603105
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 1965 FOOTHILL BLVD STE L, La Verne, CA, 91750

Providers at this address

NPI Name Type Specialty Location
1700368792 Azam Aleemuddin Individual General Practice Dentistry La Verne, CA
1891570529 Azam Aleemuddin DDS, Inc. Organization Dental Clinic/Center La Verne, CA

Verify this record

Cross-check NPI 1942603105 against the authoritative CMS record: view K.Sumardi DDS Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for K.Sumardi DDS Inc.?
NPPES lists Kusumo Sumardi (President) as the authorized official for this organization.
What is the NPI number for K.Sumardi DDS Inc.?
The NPI for K.Sumardi DDS Inc. is 1942603105, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-10-02.