Enrico J. Rideau a Dental Corporation Dba Plaza Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31690 Issued in CA

Legal business name

ENRICO J. RIDEAU A DENTAL CORPORATION DBA PLAZA DENTAL

Practice address

185 W la Habra Blvd
La Habra, CA 90631-5401

Phone

(562) 697-4455

Fax

(562) 697-8338

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joel G Alatorre

Title

Administrator

Phone

(562) 697-4455

Specialties & licenses 1

Addresses

Other names 1

• PLAZA DENTAL Doing business as

Tax ID family

Enrico J Rideau a Dental Corporation Dba Plaza Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Enrico J Rideau DDS a Dental Corporation

  • General Practice Dentistry
  • Gardena, CA
  • NPI 1427123454
  NPD tax ID

Locations

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1295908606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315401",
            "telephone_number": "562-697-4455",
            "fax_number": "562-697-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315401",
            "telephone_number": "562-697-4455",
            "fax_number": "562-697-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICO J. RIDEAU A DENTAL CORPORATION DBA PLAZA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "ALATORRE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-697-4455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in La Habra, CA
• Providers in La Habra, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.