NPIMap

Organization Active NPI

Rafaela Szpoganicz, DMD, Inc

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1164764197
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55926 Issued in CA
Legal business name
RAFAELA SZPOGANICZ, DMD, INC
Practice address
3615 Stockdale Hwy
Suite 2
Bakersfield, CA 93309-2194
Phone
(661) 456-0111
NPI assigned
Mar 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Authorized official

Name
Dr. Rafaela Szpoganicz, DMDNPI 1013117548
Title
President/Dentist
Phone
(661) 456-0111

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55926 CA Primary

Addresses

Primary practice location

3615 Stockdale Hwy
Suite 2
Bakersfield, CA 93309-2194

Mailing address

3615 Stockdale Hwy
Suite 2
Bakersfield, CA 93309-2194
Phone (661) 456-0111

Other names 1

  • Bellissima Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3615 Stockdale Hwy
Ste 2
Bakersfield, CA 93309
Phone (661) 456-0111

Practitioners & affiliated clinicians

Practitioners 1

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": "1363392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1164764197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 STOCKDALE HWY",
            "address_2": "SUITE 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092194",
            "telephone_number": "661-456-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 STOCKDALE HWY",
            "address_2": "SUITE 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092194",
            "telephone_number": "661-456-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAELA SZPOGANICZ, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-16",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "SZPOGANICZ",
        "authorized_official_first_name": "RAFAELA",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "661-456-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellissima Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.