Robert L. Pena DMD Dental Corp.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

37002 Issued in CA

Legal business name

ROBERT L. PENA DMD DENTAL CORP.

Practice address

22930 Lyons Ave
Santa Clarita, CA 91321-2718

Phone

(661) 222-7171

Fax

(661) 222-7535

NPI assigned

Mar 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert Limcaoco Pena, DDSNPI 1457490724

Title

President

Phone

(661) 222-7171

Specialties & licenses 1

Addresses

Other names 1

• Santa Clarita Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Limcaoco Pena, DDS

  • General Practice Dentistry
  • Santa Clarita, CA
  • NPI 1457490724
  NPD (past) Authorized official

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1720472764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22930 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212718",
            "telephone_number": "661-222-7171",
            "fax_number": "661-222-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 LYONS AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212718",
            "telephone_number": "661-222-7171",
            "fax_number": "661-222-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. PENA DMD DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LIMCAOCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-222-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "37002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Clarita Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Louie, Physical Therapist, Incorporated
• Robert Schroeder, M.D., Apmc
• Shakirra Sanai Robertson
• Teresa Anne Roca, PHARM D
• Wilma Rodeen, PT

• Preferred Provider Organization in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.