Dr. John Richard a. Retodo DMD

Primary specialty

DentistTaxonomy code 122300000X

License

39072 Issued in CA

Legal business name

DR. JOHN RICHARD A. RETODO DMD

Practice address

1640 W Carson St
Suite E
Torrance, CA 90501-3877

Phone

(310) 320-4977

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Richard Avaricio Retodo, DMD, DDS

Title

Owner

Phone

(310) 787-9172

Specialties & licenses 1

Addresses

Other names 1

• RE2DOC INC. Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Richard a. Retodo, D.M.D

  • Dentist
  • Torrance, CA
  • NPI 1013183383
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1043610710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 W CARSON ST",
            "address_2": "SUITE E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013877",
            "telephone_number": "310-320-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W CARSON ST",
            "address_2": "SUITE E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013877",
            "telephone_number": "310-320-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN RICHARD A. RETODO DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "RETODO",
        "authorized_official_first_name": "JOHN RICHARD",
        "authorized_official_middle_name": "AVARICIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-787-9172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RE2DOC INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dentist in Torrance, CA
• Providers in Torrance, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.