Active NPI
Trudental Care Inc
- Dental Clinic/Center
- Victorville, CA
National Provider Identifier
1619687928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- TRUDENTAL CARE INC
- Practice address
- 15586 7TH St
Victorville, CA 92395-3224 - Phone
- (909) 577-1222
- NPI assigned
- Nov 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Milagros Javier Macaraig, DDS
- Title
- Cfo
- Phone
- (900) 577-1222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
15586 7TH St
Victorville, CA 92395-3224
Mailing address
15586 7TH St
Victorville, CA 92395-3224
Phone (909) 577-1222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@trudentalcareinc.com |
National Provider Directory
National Provider DirectoryLocations
15586 Seventh St
Victorville, CA 92395
Phone (760) 241-7774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669593600000",
"number": "1619687928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15586 7TH ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953224",
"telephone_number": "909-577-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15586 7TH ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953224",
"telephone_number": "909-577-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUDENTAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A",
"authorized_official_last_name": "MACARAIG",
"authorized_official_first_name": "MILAGROS",
"authorized_official_middle_name": "JAVIER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "900-577-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@trudentalcareinc.com",
"affiliation": "N",
"address_1": "15586 7th St",
"city": "Victorville",
"state": "CA",
"country_code": "US",
"postal_code": "923953224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.