Organization Active NPI

Rose Joy Endonila DDS,Professional Dental Corporation

Doing business as Rose Joy Endonila,DDS

  • General Practice Dentistry
  • Pleasant Hill, CA
National Provider Identifier
1679893556
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44867 Issued in CA
Legal business name
ROSE JOY ENDONILA DDS,PROFESSIONAL DENTAL CORPORATION
Doing business as
Rose Joy Endonila,DDS
Practice address
91 Gregory LN
Suite 9
Pleasant Hill, CA 94523-4981
Phone
(925) 671-9177
Fax
(925) 726-2479
NPI assigned
Jun 2, 2010
Organization subpart
Yes
Parent organization
ROSE JOY ENDONILA DDS,PROFESIONAL DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Rose Joy Endonila, DDS
Title
Ceo-President
Phone
(925) 671-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44867 CA Primary

Addresses

Primary practice location

91 Gregory LN
Suite 9
Pleasant Hill, CA 94523-4981

Mailing address

91 Gregory LN
Suite 9
Pleasant Hill, CA 94523-4981
Phone (925) 671-9177

Other names 1

  • Rose Joy Endonila,DDS Doing business as

National Provider Directory

National Provider Directory
Part of
Rose Joy Endonila Ddsprofessional Dental Corporation

Locations

91 Gregory Ln
Ste 9
Pleasant Hill, CA 94523
Phone (925) 671-9177

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": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1679893556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GREGORY LN",
            "address_2": "SUITE 9",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234981",
            "telephone_number": "925-671-9177",
            "fax_number": "925-726-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GREGORY LN",
            "address_2": "SUITE 9",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234981",
            "telephone_number": "925-671-9177",
            "fax_number": "925-726-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE JOY ENDONILA DDS,PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSE JOY ENDONILA DDS,PROFESIONAL DENTAL CORPORATION",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "ENDONILA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO-PRESIDENT",
        "authorized_official_telephone_number": "925-671-9177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Joy Endonila,DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.