Ra Amador Dental Group DDS.Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RA AMADOR DENTAL GROUP DDS.INC.

Practice address

14302 Telegraph Rd
Whittier, CA 90604-2905

Phone

(562) 351-1687

Fax

(562) 351-1725

NPI assigned

Jun 7, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ann Roselle Albania Amador, DDS

Title

President

Phone

(626) 512-5034

Specialties & licenses 1

Addresses

Other names 1

• Amador Dental Center Doing business as

Locations

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1497248116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14302 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906042905",
            "telephone_number": "626-512-5034",
            "fax_number": "562-351-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14302 TELEGRAPH RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906042905",
            "telephone_number": "562-351-1687",
            "fax_number": "562-351-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA AMADOR DENTAL GROUP DDS.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "ANN ROSELLE",
        "authorized_official_middle_name": "ALBANIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-512-5034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amador Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amador Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Whittier, CA
• Providers in Whittier, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.