Organization Active NPI

Ricardo Rodriguez DDS Dental Corporation

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1245778653
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
40880 Issued in CA
Legal business name
RICARDO RODRIGUEZ DDS DENTAL CORPORATION
Practice address
4521 Whittier Blvd
Los Angeles, CA 90022-2407
Phone
(323) 261-4838
Fax
(323) 261-5915
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Dr. Ricardo RodriguezNPI 1487964367
Title
Dentist
Phone
(323) 261-4838

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
Dental Clinic/Center 261QD0000X 40880 CA Primary

Addresses

Primary practice location

4521 Whittier Blvd
Los Angeles, CA 90022-2407

Mailing address

4521 Whittier Blvd
Los Angeles, CA 90022-2407
Phone (323) 261-4838

National Provider Directory

National Provider Directory

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": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1245778653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222407",
            "telephone_number": "323-261-4838",
            "fax_number": "323-261-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222407",
            "telephone_number": "323-261-4838",
            "fax_number": "323-261-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO RODRIGUEZ DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "323-261-4838",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "40880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.