Kim and Rodgers Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM AND RODGERS DENTAL CORPORATION

Practice address

8908 Madison Ave
Suite a
Fair Oaks, CA 95628-4010

Phone

(951) 536-5151

Fax

(916) 536-5154

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Charles F Rodgers, DDS

Title

Owner Doctor

Phone

(916) 536-5151

Specialties & licenses 1

Addresses

Other names 1

• RIVER CITY DENTAL GROUP Doing business as

Tax ID family

Kim and Rodgers Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• River City Dental Group

  • General Practice Dentistry
  • Fair Oaks, CA
  • NPI 1700276771
  NPD tax ID

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1629235643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8908 MADISON AVE",
            "address_2": "SUITE A",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284010",
            "telephone_number": "951-536-5151",
            "fax_number": "916-536-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND RODGERS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "916-536-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER CITY DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Keeley, LVN
• Navjot Kaur Khehra
• Neema Kianfar, MS, ATC
• Kandace Kidd
• Alexa Nichole Kidman
• Emily Kincade
• Vladimir Kindruk, RPH
• Anita Marie King
• Loretta Lorraine Kirby
• Brieana Kline

• General Practice Dentistry in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.