Organization Active NPI

Riad Dental Corporation

  • Dental Clinic/Center
  • Foothill Ranch, CA
National Provider Identifier
1356865687
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
100243 Issued in CA
Legal business name
RIAD DENTAL CORPORATION
Practice address
26700 Towne Centre Dr Ste 260
Foothill Ranch, CA 92610-2846
Phone
(949) 273-8600
NPI assigned
Jul 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Suzy Mikhail
Title
Office Manager
Phone
(949) 273-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 100243 CA Primary

Addresses

Primary practice location

26700 Towne Centre Dr Ste 260
Foothill Ranch, CA 92610-2846

Mailing address

26700 Towne Centre Dr Ste 260
Foothill Ranch, CA 92610-2846
Phone (949) 273-8600

Other identifiers 1

IdentifierTypeStateIssuer
1023468667MedicaidCA

National Provider Directory

National Provider Directory

Locations

26700 Towne Centre Dr
Ste 260
Foothill Ranch, CA 92610
Phone (949) 273-8600

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356865687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 260",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102846",
            "telephone_number": "949-273-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26700 TOWNE CENTRE DR STE 260",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102846",
            "telephone_number": "949-273-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIAD DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-273-8600"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "100243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023468667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.