Organization Active NPI

Sandra Rodriguez DDS Inc

  • Dentist
  • Lake Forest, CA
National Provider Identifier
1386035251
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SANDRA RODRIGUEZ DDS INC
Practice address
20025 Lake Forest Dr Ste 105
Lake Forest, CA 92630-8716
Phone
(949) 916-8922
Fax
(949) 916-8911
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Sandra Rodriguez, DDS
Title
Owner
Phone
(949) 916-8922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

20025 Lake Forest Dr Ste 105
Lake Forest, CA 92630-8716

Mailing address

20025 Lake Forest Dr Ste 105
Lake Forest, CA 92630-8716
Phone (949) 916-8922

National Provider Directory

National Provider Directory

Locations

20025 Lake Forest Dr
Ste 105
Lake Forest, CA 92630
Phone (949) 521-4907

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1386035251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20025 LAKE FOREST DR STE 105",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308716",
            "telephone_number": "949-916-8922",
            "fax_number": "949-916-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20025 LAKE FOREST DR STE 105",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308716",
            "telephone_number": "949-916-8922",
            "fax_number": "949-916-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA RODRIGUEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-916-8922",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.