Susan R. Real-Raz, DMD, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

42402 Issued in CA

Legal business name

SUSAN R. REAL-RAZ, DMD, INC.

Practice address

12725 Perris Blvd
Moreno Valley, CA 92553-4110

Phone

(951) 486-0116

Fax

(951) 486-9143

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Susan Rosetes Real-Raz, DMDNPI 1679624902

Title

President/Owner

Phone

(951) 486-0119

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Susan R Real-Raz, DMD

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1679624902
  NPD (past) Authorized official

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1740596584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 PERRIS BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534110",
            "telephone_number": "951-486-0116",
            "fax_number": "951-486-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 PERRIS BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534110",
            "telephone_number": "951-486-0116",
            "fax_number": "951-486-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN R. REAL-RAZ, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "REAL-RAZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ROSETES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "951-486-0119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jithu Susan Mathew, M.D.
• Made Sutjita, M.D.
• Cheryl Swaniker, M.S. SLP
• Jeff Swanson
• Jessica Swaris
• Raed Bader Sweiss, DO

• Dentist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.