NPIMap

Organization Active NPI

Paz Dental Group Inc

  • Dentist
  • Colton, CA
National Provider Identifier
1417490004
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50970 Issued in CA
Legal business name
PAZ DENTAL GROUP INC
Practice address
827 W Valley Blvd
Colton, CA 92324-2001
Phone
(909) 825-2175
Fax
(909) 825-0964
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Rody Paz-Casanova, DDS
Title
Ceo
Phone
(909) 825-2175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50970 CA Primary

Addresses

Primary practice location

827 W Valley Blvd
Colton, CA 92324-2001

Mailing address

827 W Valley Blvd
Colton, CA 92324-2001
Phone (909) 825-2175

National Provider Directory

National Provider Directory
Tax ID family
Paz Dental Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1417490004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242001",
            "telephone_number": "909-825-2175",
            "fax_number": "909-825-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242001",
            "telephone_number": "909-825-2175",
            "fax_number": "909-825-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAZ DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "PAZ-CASANOVA",
        "authorized_official_first_name": "RODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-825-2175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.