Active NPI
Peter a. Rich, D.M.D. Inc.
- Dental Clinic/Center
- Poway, CA
National Provider Identifier
1053670141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 57833
- Legal business name
- PETER A. RICH, D.M.D. INC.
- Practice address
- 15835 Pomerado Road
101
Poway, CA 92064-2042 - Phone
- (858) 487-4727
- NPI assigned
- May 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter A Rich, D.M.D.
- Title
- Owner/Dentist
- Phone
- (619) 540-0816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 57833 | CA | Primary |
Addresses
Primary practice location
15835 Pomerado Road
101
Poway, CA 92064-2042
Mailing address
15835 Pomerado Road
101
Poway, CA 92064-2042
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336521600000",
"number": "1053670141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15835 POMERADO ROAD",
"address_2": "101",
"city": "POWAY",
"state": "CA",
"postal_code": "920642042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15835 POMERADO ROAD",
"address_2": "101",
"city": "POWAY",
"state": "CA",
"postal_code": "920642042",
"telephone_number": "858-487-4727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER A. RICH, D.M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A",
"authorized_official_last_name": "RICH",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "619-540-0816",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "57833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.