Rody Paz Casanova, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

50970 Issued in CA

Practice address

549 E Valley Blvd
Colton, CA 92324-3127

Phone

(909) 825-2175

Fax

(909) 825-0964

NPI assigned

Mar 7, 2007

Last updated

Sep 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paz Dental Group Inc

  • Dentist
  • Colton, CA
  • NPI 1417490004
  Authorized official Same address or phone
• Rody Paz Casanova Dental Inc.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1831661586
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1457482069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 E VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243127",
            "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": "549 E VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243127",
            "telephone_number": "909-825-2175",
            "fax_number": "909-825-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ CASANOVA",
        "first_name": "RODY",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suraj Patel, MD
• Kathryn Paturzo
• Mispa Paul
• Jennifer L Pavley, PA-C
• Imani Rafaela Payton, RN
• Paz Dental Group Inc
• Paz Dental Group,Inc
• Veronica Paz
• Kadi Lyn Pearce, LVN
• Pearl Ventures (Pearl Medical Supply)

• Dentist in Colton, CA
• Providers in Colton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.