Organization Active NPI

R Paz Casanova a Dental Corporation

  • Dental Clinic/Center
  • El Monte, CA
National Provider Identifier
1275031775
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
50970 Issued in CA
Legal business name
R PAZ CASANOVA A DENTAL CORPORATION
Practice address
10728 Ramona Blvd Ste D
El Monte, CA 91731-2601
Phone
(626) 416-5500
Fax
(626) 416-5503
NPI assigned
Jan 30, 2018
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Dr. Rody Paz Casanova
Title
Dentist
Phone
(626) 416-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 50970 CA Primary

Addresses

Primary practice location

10728 Ramona Blvd Ste D
El Monte, CA 91731-2601

Mailing address

10728 Ramona Blvd Ste D
El Monte, CA 91731-2601
Phone (626) 416-5500

National Provider Directory

National Provider Directory

Locations

10728 Ramona Blvd
Ste D
El Monte, CA 91731
Phone (626) 416-5500

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1275031775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10728 RAMONA BLVD STE D",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312601",
            "telephone_number": "626-416-5500",
            "fax_number": "626-416-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10728 RAMONA BLVD STE D",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312601",
            "telephone_number": "626-416-5500",
            "fax_number": "626-416-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R PAZ CASANOVA A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PAZ CASANOVA",
        "authorized_official_first_name": "RODY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-416-5500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "50970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.