Active NPI
Rowena Lagleva Romero
- Dental Clinic/Center
- Pacifica, CA
National Provider Identifier
1124761333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ROWENA LAGLEVA ROMERO
- Practice address
- 777 Hickey Blvd
Pacifica, CA 94044-1214 - Phone
- (650) 359-7720
- Fax
- (650) 359-7785
- NPI assigned
- Apr 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rowena Lagleva Romero
- Title
- DDS
- Phone
- (650) 787-8976
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
777 Hickey Blvd
Pacifica, CA 94044-1214
Mailing address
1102 E 16TH Ave
San Mateo, CA 94402-2139
Phone (650) 787-8976
Other names 1
- FAIRMONT DENTAL
National Provider Directory
National Provider DirectoryLocations
777 Hickey Blvd
Pacifica, CA 94044
Phone (650) 359-7720
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pacifica, CA
- NPI 1184090235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649980800000",
"number": "1124761333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 E 16TH AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944022139",
"telephone_number": "650-787-8976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HICKEY BLVD",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940441214",
"telephone_number": "650-359-7720",
"fax_number": "650-359-7785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROWENA LAGLEVA ROMERO",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "ROWENA",
"authorized_official_middle_name": "LAGLEVA",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "650-787-8976"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAIRMONT DENTAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pacifica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.