Vasquez Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

54036 Issued in CA

Legal business name

VASQUEZ DENTAL CORPORATION

Practice address

2420 Vista Way Ste 210
Oceanside, CA 92054

Phone

(760) 724-1102

Fax

(760) 724-1471

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jose Angelo Ragon Vasquez, D.D.S.

Title

President/Pediatric Dentist

Phone

(760) 724-1102

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tri-City Children's Dentistry 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.

• Jose Angelo Ragon Vasquez, D.D.S.

  • Pediatric Dentistry
  • Oceanside, CA
  • NPI 1770613598
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1114297785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 VISTA WAY STE 210",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546190",
            "telephone_number": "760-724-1102",
            "fax_number": "760-724-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 VISTA WAY STE 210",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92054",
            "telephone_number": "760-724-1102",
            "fax_number": "760-724-1471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 E Pennsylvania Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920253432",
            "country_code": "US",
            "telephone_number": "760-546-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VASQUEZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "JOSE ANGELO",
        "authorized_official_middle_name": "RAGON",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "760-724-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "54036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D54036",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1770613598",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-City Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri-City Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jana Vanwagoner
• Martha Vargas-Rico, LCSW
• Maria V. Vargas
• Victoria Vargas
• Matthew Vasile, LCSW
• Daniel Vasquez, DDS
• Fabio Vasquez, MD
• Jose Angelo Ragon Vasquez, D.D.S.
• Julie Vasquez
• Vast Oceanside Elderly Care

• Pediatric Dentistry in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.