A Rincon DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

A RINCON DDS INC

Practice address

2503 E Lakeshore Dr Ste E
Lake Elsinore, CA 92530-4433

Phone

(951) 674-4800

Fax

(951) 674-4833

NPI assigned

Sep 6, 2019

Last updated

Sep 6, 2019By 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

Maria Welbourne

Title

Office Manager

Phone

(951) 674-4800

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dental Office of Albert Rincon DDS Inc.

  • General Practice Dentistry
  • Lake Elsinore, CA
  • NPI 1972152676
  NPPES parent name

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1053960575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 E LAKESHORE DR STE E",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304433",
            "telephone_number": "951-674-4800",
            "fax_number": "951-674-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E LAKESHORE DR STE E",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304433",
            "telephone_number": "951-674-4800",
            "fax_number": "951-674-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RINCON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "WELBOURNE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-674-4800"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.