Organization Active NPI

Rofael Dental Corp.

  • Dentist
  • Fountain Valley, CA
National Provider Identifier
1730337379
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jul 6, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
B4071401OtherCAMEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.