Robert Bang, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43114 Issued in CA

Legal business name

ROBERT BANG, D.D.S., INC.

Doing business as

Children's Dental Group

Practice address

911 W. Perdew Ave.
Ridgecrest, CA 93555-3105

Phone

(760) 446-8688

Fax

(760) 446-8691

NPI assigned

Dec 7, 2006

Last updated

Jan 6, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ROBERT BANG, D.D.S., INC.As reported in NPPES

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

Authorized official

Name

Dr. Robert Bang, D.D.S.NPI 1942228036

Title

Owner

Phone

(760) 446-8688

Specialties & licenses 1

Addresses

Other names 1

• Children's Dental Group Doing business as

Part of

Robert Bang DDS Inc

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.

• Robert Bang, D.D.S.

  • General Practice Dentistry
  • Ridgecrest, CA
  • NPI 1942228036
  NPD Authorized official

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1538228341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W. PERDEW AVE.",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553105",
            "telephone_number": "760-446-8688",
            "fax_number": "760-446-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W. PERDEW AVE.",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553105",
            "telephone_number": "760-446-8688",
            "fax_number": "760-446-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BANG, D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT BANG, D.D.S., INC.",
        "enumeration_date": "2006-12-07",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-446-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Luise Ritchie, RN
• George Joseph Rivello, DPM
• Brianna Rene Rivera
• Socorro Cora Rivera
• Catricia L Roberson
• Douglas E. Roberts Jr., M.D.
• Samantha Robertson
• Caroline Kay Robison, O.D.
• Richard Alan Rohrlick, MSW, LCSW, BCD, ACSW
• Karen Guadalupe Rojas Palacios

• General Practice Dentistry in Ridgecrest, CA
• Providers in Ridgecrest, 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 Jan 6, 2022; 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.