Organization Active NPI

Ruben R. Santana, DMD, Inc.

Doing business as 4th-Vermont Dental Care

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1508273046
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37495 Issued in CA
Legal business name
RUBEN R. SANTANA, DMD, INC.
Doing business as
4th-Vermont Dental Care
Practice address
356 S Vermont Ave
Los Angeles, CA 90020-1807
Phone
(213) 386-1418
Fax
(213) 386-1417
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Dr. Ruben R Santana, DDSNPI 1407988793
Title
Dentist
Phone
(213) 386-1418

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37495 CA Primary

Addresses

Primary practice location

356 S Vermont Ave
Los Angeles, CA 90020-1807

Mailing address

356 S Vermont Ave
Los Angeles, CA 90020-1807
Phone (213) 386-1418

Other names 1

  • 4th-Vermont Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

356 S Vermont Ave
Los Angeles, CA 90020
Phone (213) 386-1418

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": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1508273046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201807",
            "telephone_number": "213-386-1418",
            "fax_number": "213-386-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201807",
            "telephone_number": "213-386-1418",
            "fax_number": "213-386-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN R. SANTANA, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-386-1418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "37495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4th-Vermont Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.