Active NPI
Rafaela Pauletto Szpoganicz, DMD
- Dentist
- Bakersfield, CA
National Provider Identifier
1013117548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 55926
- Practice address
- 3615 Stockdale Hwy
Suite 2
Bakersfield, CA 93309-2194 - Phone
- (661) 456-0111
- Fax
- (661) 829-4329
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55926 | CA | Primary |
Addresses
Primary practice location
3615 Stockdale Hwy
Suite 2
Bakersfield, CA 93309-2194
Mailing address
3615 Stockdale Hwy
Suite 2
Bakersfield, CA 93309-2194
Phone (661) 456-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55926 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafaela Szpoganicz, DMD, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1013117548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 STOCKDALE HWY",
"address_2": "SUITE 2",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933092194",
"telephone_number": "661-456-0111",
"fax_number": "661-829-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 STOCKDALE HWY",
"address_2": "SUITE 2",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933092194",
"telephone_number": "661-456-0111",
"fax_number": "661-829-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZPOGANICZ",
"first_name": "RAFAELA",
"middle_name": "PAULETTO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.