Individual provider Active NPI

Benjamin Roque Saldana, DDS

  • General Practice Dentistry
  • National City, CA
National Provider Identifier
1538355565
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55398 Issued in CA
Practice address
910 Euclid Ave
#65
National City, CA 91950-3834
Phone
(619) 434-3842
Fax
(619) 434-3842
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55398 CA Primary

Addresses

Primary practice location

910 Euclid Ave
#65
National City, CA 91950-3834

Mailing address

910 Euclid Ave
#65
National City, CA 91950-3834
Phone (619) 434-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1538355565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 EUCLID AVE",
            "address_2": "#65",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503834",
            "telephone_number": "619-434-3842",
            "fax_number": "619-434-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 EUCLID AVE",
            "address_2": "#65",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503834",
            "telephone_number": "619-434-3842",
            "fax_number": "619-434-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALDANA",
        "first_name": "BENJAMIN",
        "middle_name": "ROQUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.