Organization Active NPI

Trudental Care Inc

  • Dental Clinic/Center
  • Victorville, CA
National Provider Identifier
1619687928
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Nov 28, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address info@trudentalcareinc.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.