Organization Active NPI

Samuel Roxas and Leoncia Roxas Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1609089507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41532 Issued in CA
Legal business name
SAMUEL ROXAS AND LEONCIA ROXAS DENTAL CORP
Practice address
3130 W. 6TH St.
Los Angeles, CA 90020-1702
Phone
(213) 382-5650
Fax
(213) 382-1443
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samuel C Roxas, DMDNPI 1366627572
Title
President
Phone
(213) 382-5650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 41532 CA Primary

Addresses

Primary practice location

3130 W. 6TH St.
Los Angeles, CA 90020-1702

Mailing address

3130 W. 6TH St. Suite1
Los Angeles, CA 90020-1702
Phone (213) 382-5650

National Provider Directory

National Provider Directory

Locations

3130 W 6th St
Los Angeles, CA 90020
Phone (213) 382-5650

3130 W 6th St
Ste 1
Los Angeles, CA 90020
Phone (213) 382-5650

Practitioners & affiliated clinicians

Practitioners 2

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609089507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 W. 6TH ST. SUITE1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201702",
            "telephone_number": "213-382-5650",
            "fax_number": "213-382-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W. 6TH ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201702",
            "telephone_number": "213-382-5650",
            "fax_number": "213-382-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL ROXAS AND LEONCIA ROXAS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROXAS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-382-5650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.