Individual provider Active NPI

Richard K Rounsavelle, DDS

  • General Practice Dentistry
  • Torrance, CA
National Provider Identifier
1730217761
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20580 Issued in CA
Practice address
23530 Hawthorne Blvd
Skypark 1Suite 250
Torrance, CA 90505-4726
Phone
(310) 303-7970
Fax
(310) 303-7985
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20580 CA Primary

Addresses

Primary practice location

23530 Hawthorne Blvd
Skypark 1Suite 250
Torrance, CA 90505-4726

Mailing address

23530 Hawthorne Blvd Skypark 1
Suite #250
Torrance, CA 90505-4726
Phone (310) 303-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20580CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1730217761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23530 HAWTHORNE BLVD SKYPARK 1",
            "address_2": "SUITE #250",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054726",
            "telephone_number": "310-303-7970",
            "fax_number": "310-303-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23530 HAWTHORNE BLVD",
            "address_2": "SKYPARK 1SUITE 250",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054726",
            "telephone_number": "310-303-7970",
            "fax_number": "310-303-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNSAVELLE",
        "first_name": "RICHARD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.