Organization Active NPI

Rose Dental Group

  • Dentist
  • Escondido, CA
National Provider Identifier
1366836645
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55005 Issued in CA
Legal business name
ROSE DENTAL GROUP
Practice address
430 N Rose St
Escondido, CA 92027-2402
Phone
(760) 741-1690
Fax
(760) 741-1697
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Mahtab Saadatmandi, DMD
Title
Dentist
Phone
(858) 357-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 55005 CA Primary

Addresses

Primary practice location

430 N Rose St
Escondido, CA 92027-2402

Mailing address

430 N Rose St
Escondido, CA 92027-2402
Phone (760) 741-1690

National Provider Directory

National Provider Directory

Locations

430 N Rose St
Escondido, CA 92027
Phone (760) 741-1690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1366836645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N ROSE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272402",
            "telephone_number": "760-741-1690",
            "fax_number": "760-741-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N ROSE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272402",
            "telephone_number": "760-741-1690",
            "fax_number": "760-741-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "SAADATMANDI",
        "authorized_official_first_name": "MAHTAB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "858-357-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.