Organization Active NPI

Santiago a Rojo D.D.S Inc.

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1659621613
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58216 Issued in CA
Legal business name
SANTIAGO A ROJO D.D.S INC.
Practice address
22435 Alessandro Blvd
Suite106
Moreno Valley, CA 92553-8356
Phone
(951) 656-3100
Fax
(951) 656-3013
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dr. Santiago Americo Rojo
Title
Owner
Phone
(951) 656-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58216 CA Primary

Addresses

Primary practice location

22435 Alessandro Blvd
Suite106
Moreno Valley, CA 92553-8356

Mailing address

22435 Alessandro Blvd.
Suite 106
Moreno Valley, TERRITORY 92553
UM
Phone (951) 656-3100

National Provider Directory

National Provider Directory

Locations

22435 Alessandro Blvd
Ste 106
Moreno Valley, CA 92553
Phone (951) 656-3100

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1659621613",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "22435 ALESSANDRO BLVD.",
            "address_2": "SUITE 106",
            "city": "MORENO VALLEY",
            "state": "TERRITORY",
            "postal_code": "92553",
            "telephone_number": "951-656-3100",
            "fax_number": "951-656-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22435 ALESSANDRO BLVD",
            "address_2": "SUITE106",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538356",
            "telephone_number": "951-656-3100",
            "fax_number": "951-656-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTIAGO A ROJO D.D.S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "ROJO",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_middle_name": "AMERICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-656-3100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.