Rubencillo H Santos DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59933 Issued in CA

Legal business name

RUBENCILLO H SANTOS DDS INC

Practice address

2503 E Hatch Rd
Modesto, CA 95351-4817

Phone

(209) 537-5783

Fax

(209) 537-0443

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Rubencillo Herrera Santos, DDS

Title

President

Phone

(209) 537-5783

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Salvatore Di Bari, D.D.S.

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1265677116
  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1073979472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 E HATCH RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514817",
            "telephone_number": "209-537-5783",
            "fax_number": "209-537-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E HATCH RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514817",
            "telephone_number": "209-537-5783",
            "fax_number": "209-537-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBENCILLO H SANTOS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "RUBENCILLO",
        "authorized_official_middle_name": "HERRERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-537-5783",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Royel
• Marek Zenon Rozycki, M.D.
• Abigaill Ruano
• Vanessa Ruano
• Rylee Anna Rubalcava
• Anthony Rubino
• Yesica Rubio Bautista
• Arlene D Rubio
• Margarita Rubio
• Maria Elizabeth Rubio

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, 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 Jan 14, 2016; 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.