Organization Active NPI

Ronald Abaro Dental Corp

Doing business as Riverside Dental & Orthodontics

  • Dental Clinic/Center
  • Riverside, CA
National Provider Identifier
1306422241
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RONALD ABARO DENTAL CORP
Doing business as
Riverside Dental & Orthodontics
Practice address
4942 Arlington Ave
Riverside, CA 92504-2708
Phone
(951) 359-4911
Fax
(951) 351-2013
NPI assigned
Mar 22, 2021
Last updated
Mar 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Miss Faviola Silva
Title
Regional Manager
Phone
(323) 835-6839

Specialties & licenses 1

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

Addresses

Primary practice location

4942 Arlington Ave
Riverside, CA 92504-2708

Mailing address

4942 Arlington Ave
Riverside, CA 92504-2708
Phone (951) 359-4911

Other identifiers 1

IdentifierTypeStateIssuer
1306984596MedicaidCA

Other names 1

  • Riverside Dental & Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address riverside@ourbestlifeinc.com Direct

National Provider Directory

National Provider Directory

Locations

4942 Arlington Ave
Riverside, CA 92504
Phone (951) 359-4911

Practitioners & affiliated clinicians

Practitioners 5

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1306422241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042708",
            "telephone_number": "951-359-4911",
            "fax_number": "951-351-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042708",
            "telephone_number": "951-359-4911",
            "fax_number": "951-351-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD ABARO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "FAVIOLA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "323-835-6839",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306984596",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "riverside@ourbestlifeinc.com",
            "affiliation": "N",
            "endpointDescription": "office email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4942 Arlington Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925042708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Riverside Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.