Organization Active NPI

Rwigema Dental Corporation

  • Dental Clinic/Center
  • Valencia, CA
National Provider Identifier
1669950630
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62254 Issued in CA
Legal business name
RWIGEMA DENTAL CORPORATION
Practice address
23501 Cinema Dr Ste 112
Valencia, CA 91355-5429
Phone
(661) 290-3355
Fax
(661) 290-2333
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Gloria Umutangana
Title
Personal Assistant
Phone
(661) 290-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 62254 CA Primary

Addresses

Primary practice location

23501 Cinema Dr Ste 112
Valencia, CA 91355-5429

Mailing address

23501 Cinema Dr Ste 112
Valencia, CA 91355-5429
Phone (661) 290-3355

Other names 1

  • JR Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jr Dental2 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.

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": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1669950630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR STE 112",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555429",
            "telephone_number": "661-290-3355",
            "fax_number": "661-290-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DR STE 112",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555429",
            "telephone_number": "661-290-3355",
            "fax_number": "661-290-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWIGEMA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "UMUTANGANA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PERSONAL ASSISTANT",
        "authorized_official_telephone_number": "661-290-3355"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JR Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.