Organization Active NPI

Ronald Abaro DDS PC

Doing business as Goshen Dental & Orthodontics

  • General Practice Dentistry
  • Goshen, IN
National Provider Identifier
1164291340
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RONALD ABARO DDS PC
Doing business as
Goshen Dental & Orthodontics
Practice address
1830 Rieth Blvd
Suite 4
Goshen, IN 46526-5859
Phone
(574) 501-4901
Fax
(574) 830-1070
NPI assigned
Dec 28, 2023
Last updated
Dec 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Faviola Silva
Title
Director
Phone
(562) 282-6928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1830 Rieth Blvd
Suite 4
Goshen, IN 46526-5859

Mailing address

3131 E Florence Ave
Huntington Park, CA 90255-5839
Phone (323) 585-3332

Other names 1

  • Goshen Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1830 Rieth Blvd
Ste 4
Goshen, IN 46526
Phone (574) 501-4901

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1164291340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555839",
            "telephone_number": "323-585-3332",
            "fax_number": "323-585-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 RIETH BLVD",
            "address_2": "SUITE 4",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265859",
            "telephone_number": "574-501-4901",
            "fax_number": "574-830-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD ABARO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "FAVIOLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-282-6928"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.