OrganizationActive
K.sumardi DDS Inc.
NPI 1942603105 · General Practice Dentistry · La Verne, CA
K.sumardi DDS Inc. is a General Practice Dentistry organization in La Verne, CA (NPI 1942603105).
Provider details
- NPI number
- 1942603105
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kusumo Sumardi, President(909) 596-6500
- License
- 41680 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1965 Foothill Blvd Ste L
La Verne, CA 91750-3502
Phone: (909) 596-6500
Fax: (909) 596-8809
Street-level locationGet directions
Mailing address
1965 Foothill Blvd Ste L
La Verne, CA 91750-3502
Registry dates
- Enumerated
- 2014-10-02
- Last updated
- 2014-10-02
Frequently asked questions
- What is K.sumardi DDS Inc.'s NPI number?
- K.sumardi DDS Inc.'s National Provider Identifier (NPI) is 1942603105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is K.sumardi DDS Inc.?
- K.sumardi DDS Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is K.sumardi DDS Inc. located?
- K.sumardi DDS Inc.'s practice location on file with NPPES is 1965 Foothill Blvd Ste L, La Verne, CA 91750-3502.
- What is K.sumardi DDS Inc.'s phone number?
- The practice phone number listed in the NPPES registry for K.sumardi DDS Inc. is (909) 596-6500.
- Who is the authorized official for K.sumardi DDS Inc.?
- The authorized official listed on K.sumardi DDS Inc.'s NPPES record is Kusumo Sumardi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is K.sumardi DDS Inc.'s NPI active?
- Yes — K.sumardi DDS Inc.'s NPI (1942603105) is active in the NPPES registry as of the last update on 2014-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.