NPIMap

Organization Active NPI

Paz Casanova Dental Corporation

  • Dentist
  • La Puente, CA
National Provider Identifier
1609145994
Registry record updated May 16, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50970 Issued in CA
Legal business name
PAZ CASANOVA DENTAL CORPORATION
Practice address
525 S Azusa Way
La Puente, CA 91744-5113
Phone
(626) 810-0045
Fax
(626) 810-6365
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Dr. Rody Paz Casanova, DDS
Title
Owner/Dentist
Phone
(626) 810-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50970 CA Primary

Addresses

Primary practice location

525 S Azusa Way
La Puente, CA 91744-5113

Mailing address

525 S Azusa Way
La Puente, CA 91744-5113
Phone (626) 810-0045

Other names 1

  • SUNSTAR DENTAL CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1609145994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S AZUSA WAY",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445113",
            "telephone_number": "626-810-0045",
            "fax_number": "626-810-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S AZUSA WAY",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917445113",
            "telephone_number": "626-810-0045",
            "fax_number": "626-810-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAZ CASANOVA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "PAZ CASANOVA",
        "authorized_official_first_name": "RODY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "626-810-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSTAR DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Puente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.