Richard C. Evangelista D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

47258 Issued in CA

Legal business name

RICHARD C. EVANGELISTA D.D.S., INC.

Doing business as

Beautiful Smiles of La Jolla

Practice address

8861 Villa la Jolla Dr Ste 501
La Jolla, CA 92037-1925

Phone

(858) 926-2332

NPI assigned

Jun 15, 2017

Organization subpart

Yes

Parent organization

RICHARD C. EVANGELISTA 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. Richard Evangelista, DDS

Title

President

Phone

(925) 789-0575

Specialties & licenses 1

Addresses

Other names 1

• Beautiful Smiles of La Jolla Doing business as

Part of

Richard C Evangelista DDS Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Richard C. Evangelista D.D.S., Inc.

  • Dental Clinic/Center
  • Pleasanton, CA
  • NPI 1386172450
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debbie Kim, DDS

  • Dentist
  • La Jolla, CA
  • NPI 1487765814
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558891291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 VILLA LA JOLLA DR STE 501",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371925",
            "telephone_number": "858-926-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 VILLA LA JOLLA DR STE 501",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371925",
            "telephone_number": "858-926-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. EVANGELISTA D.D.S., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD C. EVANGELISTA D.D.S. INC.",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-789-0575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Smiles of La Jolla",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beautiful Smiles of La Jolla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Robin Rice, PHD
• Jeremy Rich, M.D.
• Peter Alfred Rich, D.M.D.
• Porchia Renee Rich, M.D.
• Richard a.K. Chaffoo, a Professional Corporation
• Richard L. Sherman DDS, Inc.
• Richard M. Wachsman, M.D. a Medical Corporation
• Rae Richard, CRNP
• James J Richards
• Kristen Anne Richards, M.D.

• Dental Clinic/Center in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.