Active NPI
Victor Magpili Rosales, DDS
- General Practice Dentistry
- Covina, CA
National Provider Identifier
1326174970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55369
- Practice address
- 20530 E Arrow Hwy
Suite a
Covina, CA 91724-1238 - Phone
- (626) 938-1236
- Fax
- (626) 938-1234
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55369 | CA | Primary |
Addresses
Primary practice location
20530 E Arrow Hwy
Suite a
Covina, CA 91724-1238
Mailing address
20530 E Arrow Hwy
Suite a
Covina, CA 91724-1238
Phone (626) 938-1236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G89426 | Other | CA | MEDICAL/DENTI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190910001593 | CA | Practitioner - Oral Surgery | 9638408073 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55369 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrow Smile Dental a Practice of Victor M Rosales DDS Inc | Past | Accepting new patients | |
| Arrow Smile Dental a Practice of Victor M Rosales,DDS, Incorporated | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Covina, CA
- NPI 1558544627
-
dba None
- Dental Clinic/Center
- Covina, CA
- NPI 1255752515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219968000000",
"number": "1326174970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20530 E ARROW HWY",
"address_2": "SUITE A",
"city": "COVINA",
"state": "CA",
"postal_code": "917241238",
"telephone_number": "626-938-1236",
"fax_number": "626-938-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20530 E ARROW HWY",
"address_2": "SUITE A",
"city": "COVINA",
"state": "CA",
"postal_code": "917241238",
"telephone_number": "626-938-1236",
"fax_number": "626-938-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "VICTOR",
"middle_name": "MAGPILI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2008-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55369",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL/DENTI-CAL",
"identifier": "G89426",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.