Active NPI
Rafik Riad DDS Inc
- Dental Clinic/Center
- Poway, CA
National Provider Identifier
1669146478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- RAFIK RIAD DDS INC
- Practice address
- 12411 Poway Rd Ste 101
Poway, CA 92064-4322 - Phone
- (858) 748-2101
- NPI assigned
- Aug 4, 2021
- 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
- Allecia G Flattem
- Title
- Operations Manager
- Phone
- (858) 748-2101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
12411 Poway Rd Ste 101
Poway, CA 92064-4322
Mailing address
12411 Poway Rd Ste 101
Poway, CA 92064-4322
Other names 1
- Oak Tree Dental
National Provider Directory
National Provider DirectoryLocations
12411 Poway Rd
Ste 101
Poway, CA 92064
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Poway, CA
- NPI 1497151203
-
- General Practice Dentistry
- Augusta, ME
- NPI 1811205040
-
- General Practice Dentistry
- Biddeford, ME
- NPI 1649503350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1669146478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12411 POWAY RD STE 101",
"city": "POWAY",
"state": "CA",
"postal_code": "920644322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 POWAY RD STE 101",
"city": "POWAY",
"state": "CA",
"postal_code": "920644322",
"telephone_number": "858-748-2101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAFIK RIAD DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "FLATTEM",
"authorized_official_first_name": "ALLECIA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "858-748-2101"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Tree Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.