Organization Active NPI

Jprwigema Dental Corporation

  • Dentist
  • Panorama City, CA
National Provider Identifier
1255192209
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JPRWIGEMA DENTAL CORPORATION
Practice address
14547 Titus Street
Suite 207
Panorama City, CA 91402
Phone
(818) 785-4282
Fax
(818) 785-8704
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Mr. Jean Pierre Rwigema, DDS
Title
Ceo
Phone
(818) 785-4282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14547 Titus Street
Suite 207
Panorama City, CA 91402

Mailing address

14547 Titus Street
Suite 207
Panorama City, CA 91402
Phone (818) 785-4282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1255192209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14547 TITUS STREET",
            "address_2": "SUITE 207",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-785-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 TITUS STREET",
            "address_2": "SUITE 207",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "91402",
            "telephone_number": "818-785-4282",
            "fax_number": "818-785-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPRWIGEMA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "RWIGEMA",
        "authorized_official_first_name": "JEAN PIERRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-785-4282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.