Organization Active NPI

Roger L. Garrett, D.D.S., a Professional Corporation

  • General Practice Dentistry
  • Calabasas, CA
National Provider Identifier
1548666381
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28443 Issued in CA
Legal business name
ROGER L. GARRETT, D.D.S., A PROFESSIONAL CORPORATION
Doing business as
Calabasas Dental Care
Practice address
23695 Calabasas Rd
Calabasas, CA 91302-1502
Phone
(818) 591-2480
Fax
(818) 591-7599
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Roger Lee Garrett, D.D.S.
Title
Dentist/President
Phone
(818) 591-2480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28443 CA Primary

Addresses

Primary practice location

23695 Calabasas Rd
Calabasas, CA 91302-1502

Mailing address

23695 Calabasas Rd
Calabasas, CA 91302-1502
Phone (818) 591-2480

Other names 1

  • Calabasas Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

23695 Calabasas Rd
Calabasas, CA 91302
Phone (818) 222-4543

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": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1548666381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23695 CALABASAS RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-591-2480",
            "fax_number": "818-591-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23695 CALABASAS RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-591-2480",
            "fax_number": "818-591-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L. GARRETT, D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "818-591-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calabasas Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.