Echarte-Rodriguez Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

52379 Issued in CA

Legal business name

ECHARTE-RODRIGUEZ DENTAL CORPORATION

Practice address

546 W Badillo St Ste E
Covina, CA 91722-3786

Phone

(626) 331-6666

Fax

(626) 331-6660

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gonzalo Echarte, DDS

Title

Doctor- Owner

Phone

(626) 331-6666

Specialties & licenses 1

Addresses

Other names 1

• Echarte-Rodriguez Family Dentistry Former legal business name

Locations

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1407309602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 W BADILLO ST STE E",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223786",
            "telephone_number": "626-331-6666",
            "fax_number": "626-331-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 W BADILLO ST STE E",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223786",
            "telephone_number": "626-331-6666",
            "fax_number": "626-331-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHARTE-RODRIGUEZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "ECHARTE",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "DOCTOR- OWNER",
        "authorized_official_telephone_number": "626-331-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Echarte-Rodriguez Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Covina, CA
• Providers in Covina, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.