Ronald Philip Estrada, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31603 Issued in CA

Practice address

1477 San Marino Ave
Suite 3
San Marino, CA 91108-2052

Phone

(626) 793-6662

Fax

(626) 793-0939

NPI assigned

Feb 5, 2008

Sex

Male

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2008.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1043498728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 SAN MARINO AVE",
            "address_2": "SUITE 3",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082052",
            "telephone_number": "626-793-6662",
            "fax_number": "626-793-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 SAN MARINO AVE",
            "address_2": "SUITE 3",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082052",
            "telephone_number": "626-793-6662",
            "fax_number": "626-793-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "RONALD",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Marino, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.