NPIMap

Organization Active NPI

Carlisle and Rodgers Dental Corporation

Doing business as Canyon Springs Dental Group of Moreno Valley

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1093800864
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARLISLE AND RODGERS DENTAL CORPORATION
Doing business as
Canyon Springs Dental Group of Moreno Valley
Practice address
2878 Campus Pkwy
Ste.1
Riverside, CA 92507-0945
Phone
(951) 571-0011
Fax
(951) 571-0012
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Charles F Rodgers, DDS
Title
Owner DDS
Phone
(951) 571-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2878 Campus Pkwy
Ste.1
Riverside, CA 92507-0945

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • CANYON SPRINGS DENTAL GROUP OF MORENO VALLEY Doing business as

National Provider Directory

National Provider Directory

Locations

2878 Campus Pkwy
Ste 1
Riverside, CA 92507
Phone (951) 571-0011

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1093800864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 CAMPUS PKWY",
            "address_2": "STE.1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070945",
            "telephone_number": "951-571-0011",
            "fax_number": "951-571-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLISLE AND RODGERS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER DDS",
        "authorized_official_telephone_number": "951-571-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANYON SPRINGS DENTAL GROUP OF MORENO VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.