Robert Mari G Ramos DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49397 Issued in CA

Legal business name

ROBERT MARI G RAMOS DDS INC

Doing business as

Grand Avenue Dental Practice

Practice address

1249 North Grand Ave
Walnut, CA 91789

Phone

(909) 444-9488

Fax

(909) 444-9788

NPI assigned

May 16, 2007

Last updated

Jan 11, 2016By 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. Robert Mari Guerrero Ramos, DDSNPI 1336623255

Title

President

Phone

(909) 444-9488

Specialties & licenses 1

Addresses

Other names 1

• Grand Avenue Dental Practice Doing business as

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.

• Robert Mari Guerrero Ramos

  • Dentist
  • Walnut, CA
  • NPI 1336623255
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1114133824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 NORTH GRAND AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-444-9488",
            "fax_number": "909-444-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 NORTH GRAND AVE",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-444-9488",
            "fax_number": "909-444-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MARI G RAMOS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ROBERT MARI",
        "authorized_official_middle_name": "GUERRERO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-444-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Avenue Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.