Organization Active NPI

Rafael Infante D.D.S. Inc

  • Dental Clinic/Center
  • Poway, CA
National Provider Identifier
1730762089
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAFAEL INFANTE D.D.S. INC
Practice address
13569 Poway Rd
Poway, CA 92064-4715
Phone
(858) 486-3300
Fax
(858) 486-5300
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Rafael E Infante, D.D.S.NPI 1881710317
Title
Owner
Phone
(858) 486-3300

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 Primary

Addresses

Primary practice location

13569 Poway Rd
Poway, CA 92064-4715

Mailing address

13569 Poway Rd
Poway, CA 92064-4715
Phone (858) 486-3300

Other names 1

  • Poway Coast Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1730762089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13569 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644715",
            "telephone_number": "858-486-3300",
            "fax_number": "858-486-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13569 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644715",
            "telephone_number": "858-486-3300",
            "fax_number": "858-486-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL INFANTE D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "INFANTE",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-486-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poway Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.