Active NPI
Rofael Dental Corp.
- Dentist
- Fountain Valley, CA
National Provider Identifier
1730337379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ROFAEL DENTAL CORP.
- Practice address
- 17150 Euclid St Ste 311
Fountain Valley, CA 92708-4092 - Phone
- (714) 444-4224
- Fax
- (714) 444-9480
- NPI assigned
- Sep 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Medhat M. Raouf Rofael
- Title
- DDS
- Phone
- (714) 444-4224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
17150 Euclid St Ste 311
Fountain Valley, CA 92708-4092
Mailing address
17150 Euclid St Ste 311
Fountain Valley, CA 92708-4092
Phone (714) 444-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4071401 | Other | CA | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
17150 Euclid St
Ste 311
Fountain Vly, CA 92708
Phone (714) 444-4224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436140800000",
"number": "1730337379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 EUCLID ST STE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "714-444-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17150 EUCLID ST STE 311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084092",
"telephone_number": "714-444-4224",
"fax_number": "714-444-9480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROFAEL DENTAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-08",
"last_updated": "2015-07-06",
"status": "A",
"authorized_official_last_name": "ROFAEL",
"authorized_official_first_name": "MEDHAT",
"authorized_official_middle_name": "M. RAOUF",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "714-444-4224",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "B4071401",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.