Organization Active NPI

Nida Rioga Relativo, D.D.S., Inc

  • General Practice Dentistry
  • Northridge, CA
National Provider Identifier
1205381340
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39877 Issued in CA
Legal business name
NIDA RIOGA RELATIVO, D.D.S., INC
Practice address
9535 Reseda Blvd Ste 213
Northridge, CA 91324-6028
Phone
(818) 718-2566
Fax
(818) 718-2479
NPI assigned
Aug 18, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Dr. Nida Rioga Relativo, DDSNPI 1962521542
Title
Dentist
Phone
(818) 718-2566

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
General Practice Dentistry 1223G0001X 39877 CA Primary

Addresses

Primary practice location

9535 Reseda Blvd Ste 213
Northridge, CA 91324-6028

Mailing address

9535 Reseda Blvd Ste 213
Northridge, CA 91324-6028
Phone (818) 718-2566

National Provider Directory

National Provider Directory

Locations

9535 Reseda Blvd
Ste 213
Northridge, CA 91324
Phone (818) 718-2566

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1205381340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 213",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246028",
            "telephone_number": "818-718-2566",
            "fax_number": "818-718-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 213",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246028",
            "telephone_number": "818-718-2566",
            "fax_number": "818-718-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDA RIOGA RELATIVO, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "RELATIVO",
        "authorized_official_first_name": "NIDA",
        "authorized_official_middle_name": "RIOGA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-718-2566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.