Penrod Dental Care, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37479 Issued in CA

Legal business name

PENROD DENTAL CARE, INC.

Practice address

29819 Santa Margarita Pkwy
Suite 200
Rancho Santa Margarita, CA 92688-3620

Phone

(949) 459-0399

Fax

(949) 713-3665

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Dani Limousin

Title

Financial Manager

Phone

(949) 459-0399

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Garrett King, DDS

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1124318654
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1730364944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29819 SANTA MARGARITA PKWY",
            "address_2": "SUITE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883620",
            "telephone_number": "949-459-0399",
            "fax_number": "949-713-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29819 SANTA MARGARITA PKWY",
            "address_2": "SUITE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883620",
            "telephone_number": "949-459-0399",
            "fax_number": "949-713-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENROD DENTAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "LIMOUSIN",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "949-459-0399",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508089996",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul a Day DDS a Professional Dental Corporation
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• Melissa Pearson, RDN
• Devallee Pedrogo, PTA
• Periodontics, Oral and Facial Surgical Specialties (Orange County Oral Surgery and Periodontics)
• Jenyffer Peterson
• Camtu Pham, D.D.S.
• Lillian Man Phan, DPT
• Physician Assistant Specialists-California Inc

• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.