Organization Active NPI

Jose a Drago Ruth I Drago DDS Inc

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1154491975
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47879 Issued in CA
Legal business name
JOSE A DRAGO RUTH I DRAGO DDS INC
Practice address
951 E Vista Way
Vista, CA 92084
Phone
(760) 732-1428
Fax
(760) 732-0192
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Jose Drago, DDSNPI 1770673550
Title
Owner
Phone
(760) 732-1428

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 47879 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 47072 CA

Addresses

Primary practice location

951 E Vista Way
Vista, CA 92084

Mailing address

951 E Vista Way
Vista, CA 92084
Phone (760) 732-1428

Other identifiers 1

IdentifierTypeStateIssuer
G9224101OtherCADENTI CAL

National Provider Directory

National Provider Directory

Locations

951 E Vista Way
Vista, CA 92084
Phone (760) 732-1428

Practitioners & affiliated clinicians

Practitioners 2

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1154491975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-732-1428",
            "fax_number": "760-732-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-732-1428",
            "fax_number": "760-732-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A DRAGO RUTH I DRAGO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "DRAGO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-732-1428",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47879",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL",
            "identifier": "G9224101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.