NPIMap

Organization Active NPI

Rogers and Reagan Dental Corporation

Doing business as College Dental Group

  • General Practice Dentistry
  • Oceanside, CA
National Provider Identifier
1275627051
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROGERS AND REAGAN DENTAL CORPORATION
Doing business as
College Dental Group
Practice address
467 College Blvd
Ste. 2
Oceanside, CA 92057-5436
Phone
(760) 631-3060
Fax
(760) 631-0645
NPI assigned
Oct 3, 2006
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Dr. Marjan Rogers, DMDNPI 1861504292
Title
Owner DMD
Phone
(760) 631-3060

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 Primary

Addresses

Primary practice location

467 College Blvd
Ste. 2
Oceanside, CA 92057-5436

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other names 1

  • COLLEGE DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

467 College Blvd
Ste 2
Oceanside, CA 92057
Phone (760) 631-3060

Practitioners & affiliated clinicians

Practitioners 9

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1275627051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 COLLEGE BLVD",
            "address_2": "STE. 2",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575436",
            "telephone_number": "760-631-3060",
            "fax_number": "760-631-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS AND REAGAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "OWNER DMD",
        "authorized_official_telephone_number": "760-631-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLEGE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.