Dr Rusen Barstow Friendly Smiles Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR RUSEN BARSTOW FRIENDLY SMILES DENTAL INC

Practice address

1352 E Main St
Barstow, CA 92311-3220

Phone

(760) 256-6600

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rares Rusen, DDS

Title

President

Phone

(213) 324-6000

Specialties & licenses 1

Addresses

Other names 1

• Barstow Friendly Smiles Other name

Electronic endpoints 1

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1689342057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113220",
            "telephone_number": "760-256-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RUSEN BARSTOW FRIENDLY SMILES DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "RUSEN",
        "authorized_official_first_name": "RARES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-324-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "management@barstowfriendlysmiles.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1352 E Main St",
            "city": "Barstow",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923113220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Barstow Friendly Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Barstow, CA
• Providers in Barstow, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.