Organization Active NPI

Rubtsov DDS Inc

  • Dental Clinic/Center
  • Reseda, CA
National Provider Identifier
1730432105
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
54436 Issued in CA
Legal business name
RUBTSOV DDS INC
Practice address
19301 Saticoy St Ste D
Reseda, CA 91335-2358
Phone
(818) 772-4222
Fax
(818) 772-1530
NPI assigned
Oct 22, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Olga Rubtsova, DDSNPI 1770642985
Title
Secretary
Phone
(818) 772-4222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 54436 CA Primary

Addresses

Primary practice location

19301 Saticoy St Ste D
Reseda, CA 91335-2358

Mailing address

19301 Saticoy St Ste D
Reseda, CA 91335-2358
Phone (818) 772-4222

National Provider Directory

National Provider Directory
Tax ID family
Rubtsov DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1730432105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 SATICOY ST STE D",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352358",
            "telephone_number": "818-772-4222",
            "fax_number": "818-772-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 SATICOY ST STE D",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352358",
            "telephone_number": "818-772-4222",
            "fax_number": "818-772-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBTSOV DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "RUBTSOVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-772-4222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "54436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.