Organization Active NPI

Children Dental World Riverside

  • Dentist
  • Riverside, CA
National Provider Identifier
1598489882
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHILDREN DENTAL WORLD RIVERSIDE
Practice address
3457 Arlington Ave Ste 109
Riverside, CA 92506-3220
Phone
(909) 881-0003
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Sandra Rangel
Title
Manager
Phone
(310) 988-0574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3457 Arlington Ave Ste 109
Riverside, CA 92506-3220

Mailing address

3457 Arlington Ave Ste 109
Riverside, CA 92506-3220
Phone (909) 881-0003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1598489882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3457 ARLINGTON AVE STE 109",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063220",
            "telephone_number": "909-881-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 ARLINGTON AVE STE 109",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063220",
            "telephone_number": "909-881-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN DENTAL WORLD RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-988-0574"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.