Organization Active NPI

R.Allen Smudde DDS

  • Dental Clinic/Center
  • Valencia, CA
National Provider Identifier
1679101968
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
R.ALLEN SMUDDE DDS
Practice address
27450 Tourney Rd Ste 250
Valencia, CA 91355-5624
Phone
(661) 259-4474
Fax
(661) 259-1371
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Brittany Dragicevich
Title
Manager
Phone
(661) 259-4474

Specialties & licenses 1

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

Addresses

Primary practice location

27450 Tourney Rd Ste 250
Valencia, CA 91355-5624

Mailing address

27450 Tourney Rd Ste 250
Valencia, CA 91355-5624
Phone (661) 259-4474

National Provider Directory

National Provider Directory

Locations

27450 Tourney Rd
Ste 250
Valencia, CA 91355
Phone (661) 259-4474

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1679101968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 TOURNEY RD STE 250",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555624",
            "telephone_number": "661-259-4474",
            "fax_number": "661-259-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 TOURNEY RD STE 250",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555624",
            "telephone_number": "661-259-4474",
            "fax_number": "661-259-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.ALLEN SMUDDE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "DRAGICEVICH",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-259-4474"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 31, 2020; 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.