NPIMap

Organization Active NPI

Roe Professional Dental Corporation

Doing business as Inland Empire Endodontics

  • Endodontics
  • Murrieta, CA
National Provider Identifier
1477674596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
45316 Issued in CA
Legal business name
ROE PROFESSIONAL DENTAL CORPORATION
Doing business as
Inland Empire Endodontics
Practice address
39755 Murrieta Hot Springs Rd
Suite D-150
Murrieta, CA 92563-9101
Phone
(951) 461-9886
Fax
(951) 461-0394
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mirta Cristina Roe, D.D.S.NPI 1366563462
Title
Owner
Phone
(951) 461-9886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 45316 CA Primary

Addresses

Primary practice location

39755 Murrieta Hot Springs Rd
Suite D-150
Murrieta, CA 92563-9101

Mailing address

39755 Murrieta Hot Springs Rd
Suite D-150
Murrieta, CA 92563-9101
Phone (951) 461-9886

Other names 1

  • Inland Empire Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

39755 Murrieta Hot Springs Rd
Ste D150
Murrieta, CA 92563
Phone (951) 461-9886

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477674596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD",
            "address_2": "SUITE D-150",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639101",
            "telephone_number": "951-461-9886",
            "fax_number": "951-461-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS RD",
            "address_2": "SUITE D-150",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925639101",
            "telephone_number": "951-461-9886",
            "fax_number": "951-461-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROE PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_middle_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-461-9886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "45316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Empire Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.