Organization Active NPI

Narda Rodriguez DMD Inc

  • Dental Clinic/Center
  • Lake Forest, CA
National Provider Identifier
1528614633
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NARDA RODRIGUEZ DMD INC
Practice address
20671 Lake Forest Dr Ste B103
Lake Forest, CA 92630-7746
Phone
(305) 336-6475
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Narda Rodriguez, DMDNPI 1548570831
Title
General Dentist / Owner
Phone
(305) 336-6475

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20671 Lake Forest Dr Ste B103
Lake Forest, CA 92630-7746

Mailing address

20671 Lake Forest Dr Ste B103
Lake Forest, CA 92630-7746
Phone (305) 336-6475

Other names 1

  • CALIFORNIA EASY SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

20671 Lake Forest Dr
Ste B103
Lake Forest, CA 92630
Phone (305) 336-6475

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": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1528614633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20671 LAKE FOREST DR STE B103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307746",
            "telephone_number": "305-336-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20671 LAKE FOREST DR STE B103",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307746",
            "telephone_number": "305-336-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARDA RODRIGUEZ DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NARDA",
        "authorized_official_title_or_position": "GENERAL DENTIST / OWNER",
        "authorized_official_telephone_number": "305-336-6475",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALIFORNIA EASY SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.