Redford Murrieta Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

REDFORD MURRIETA DENTAL CORPORATION

Doing business as

Andrew Tibbitts DDS & Associates
Legacy Dental of Murrieta

Practice address

40710 California Oaks Rd Ste B
Murrieta, CA 92562-1950

Phone

(951) 677-5113

Fax

(951) 508-0311

NPI assigned

Mar 8, 2023

Last updated

Mar 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Rogers

Title

Office Manager

Phone

(951) 677-5113

Specialties & licenses 1

Addresses

Other names 2

• ANDREW TIBBITTS DDS & ASSOCIATES Doing business as
• Legacy Dental of Murrieta Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason J Braithwaite, DMD

  • Dentist
  • Murrieta, CA
  • NPI 1609434554
  NPD (past)
• R. Spencer Bramwell, D.D.S.

  • Dentist
  • Murrieta, CA
  • NPI 1326118746
  NPD (past)

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1669172573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40710 CALIFORNIA OAKS RD STE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621950",
            "telephone_number": "951-677-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40710 CALIFORNIA OAKS RD STE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621950",
            "telephone_number": "951-677-5113",
            "fax_number": "951-508-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFORD MURRIETA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-677-5113"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDREW TIBBITTS DDS & ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Dental of Murrieta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RDT Enterprises Inc. (Cornerstone Spine Institute)
• Reamp Care Socal West LLC (REAmplified Care RTC)
• Rebuild Physical Therapy and Wellness PC
• Jayden Redd
• Madhumitha C Reddy, D.O
• Nathan Lawrence Redic
• Redlands Prosthetic & Orthotic Group Inc
• Leonard H Redman
• Maricela Rees, AMFT/APCC
• Christopher Reese

• Dental Clinic/Center in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.