Organization Active NPI

Ron C Abaro Dental Corp

  • Dentist
  • El Cajon, CA
National Provider Identifier
1629741186
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RON C ABARO DENTAL CORP
Doing business as
El Cajon Dental & Orthodontics
Practice address
359 W Madison Ave Ste 200
El Cajon, CA 92020-3456
Phone
(619) 440-6364
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Faviola Silva
Title
Regional Billing Manager
Phone
(323) 835-6839

Specialties & licenses 1

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

Addresses

Primary practice location

359 W Madison Ave Ste 200
El Cajon, CA 92020-3456

Mailing address

359 W Madison Ave Ste 200
El Cajon, CA 92020-3456
Phone (619) 440-6364

Other identifiers 1

IdentifierTypeStateIssuer
1306984596MedicaidCA

Other names 1

  • El Cajon Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1629741186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 W MADISON AVE STE 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203456",
            "telephone_number": "619-440-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 W MADISON AVE STE 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203456",
            "telephone_number": "619-440-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON C ABARO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "FAVIOLA",
        "authorized_official_title_or_position": "REGIONAL BILLING MANAGER",
        "authorized_official_telephone_number": "323-835-6839"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306984596",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Cajon Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.