Individual provider Active NPI

Victor Magpili Rosales, DDS

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1326174970
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55369 Issued in CA
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

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G89426OtherCAMEDICAL/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910001593 CA Practitioner - Oral Surgery 9638408073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
55369CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.