Organization Active NPI

Bardi-Zhujiang Dental Corporation

Doing business as RootVision Endo

  • Endodontics
  • Glendale, CA
National Provider Identifier
1184453706
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BARDI-ZHUJIANG DENTAL CORPORATION
Doing business as
RootVision Endo
Practice address
1110 N Brand Blvd Ste 101
Glendale, CA 91202-2567
Phone
(818) 242-4770
Fax
(818) 242-4772
NPI assigned
Jul 31, 2024
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Lisa Kung
Title
Manager
Phone
(310) 780-5278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1110 N Brand Blvd Ste 101
Glendale, CA 91202-2567

Mailing address

1110 N Brand Blvd Ste 101
Glendale, CA 91202-2567
Phone (818) 242-4770

Other names 1

  • RootVision Endo Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1184453706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BRAND BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022567",
            "telephone_number": "818-242-4770",
            "fax_number": "818-242-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N BRAND BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022567",
            "telephone_number": "818-242-4770",
            "fax_number": "818-242-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDI-ZHUJIANG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-780-5278"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RootVision Endo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.