NPIMap

Organization Active NPI

Rosedale Dental

  • General Practice Dentistry
  • Gardena, CA
National Provider Identifier
1245424399
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39873 Issued in CA
Legal business name
ROSEDALE DENTAL
Practice address
2926 Marine Ave
Gardena, CA 90249-3655
Phone
(310) 538-4496
Fax
(310) 538-4495
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Rose Marie Baniqued Quimson, D.D.S.NPI 1023149341
Title
General Dentist
Phone
(310) 538-4496

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39873 CA Primary

Addresses

Primary practice location

2926 Marine Ave
Gardena, CA 90249-3655

Mailing address

2926 Marine Ave
Gardena, CA 90249-3655
Phone (310) 538-4496

National Provider Directory

National Provider Directory

Locations

2926 Marine Ave
Gardena, CA 90249
Phone (310) 538-4496

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": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1245424399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 MARINE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493655",
            "telephone_number": "310-538-4496",
            "fax_number": "310-538-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 MARINE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493655",
            "telephone_number": "310-538-4496",
            "fax_number": "310-538-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEDALE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "QUIMSON",
        "authorized_official_first_name": "ROSE MARIE",
        "authorized_official_middle_name": "BANIQUED",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "310-538-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.