Raymundo Dental Practice Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40194 Issued in CA

Legal business name

RAYMUNDO DENTAL PRACTICE INC

Practice address

170 E Foothill Blvd Ste B
Arcadia, CA 91006-2569

Phone

(626) 359-4595

Fax

(626) 359-4596

NPI assigned

Jan 4, 2011

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ronalyn T. Raymundo, D.D.S.NPI 1558420612

Title

Dentist, Owner, President

Phone

(626) 359-4595

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronalyn Tanael Raymundo, D.D.S.

  • General Practice Dentistry
  • Arcadia, CA
  • NPI 1558420612
  NPD (past) Authorized official

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1477857571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 E FOOTHILL BLVD STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062569",
            "telephone_number": "626-359-4595",
            "fax_number": "626-359-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 E FOOTHILL BLVD STE B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062569",
            "telephone_number": "626-359-4595",
            "fax_number": "626-359-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMUNDO DENTAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "RAYMUNDO",
        "authorized_official_first_name": "RONALYN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DENTIST, OWNER, PRESIDENT",
        "authorized_official_telephone_number": "626-359-4595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B40194-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "833572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savithri P Ravindran, DDS
• Ray a. Pevey Chiropractic a Professional Corporation (Arcadia Chiropractic Center)
• Jennifer Raya Garcia
• Raymond D. Gritton, M.D., Inc.
• Patrick A. Raymond, M.D.
• Angelica Louise Raymundo
• Ronalyn Tanael Raymundo, D.D.S.
• Reachwell Hospice Care Inc
• Recess Speech Therapy (Recess Therapy)
• Reclaim Family Counseling, Inc. (Reclaim Healing Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.