NPIMap

Organization Active NPI

Arte Redel Apo DMD Inc.

  • Dentist
  • West Covina, CA
National Provider Identifier
1790939676
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49452 Issued in CA
Legal business name
ARTE REDEL APO DMD INC.
Practice address
1559 E. Amar Rd
#V
West Covina, CA 91792-1679
Phone
(626) 913-3341
Fax
(626) 913-3601
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Mr. Arte Redel Samonte Apo
Title
Owner
Phone
(626) 913-3341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 49452 CA Primary

Addresses

Primary practice location

1559 E. Amar Rd
#V
West Covina, CA 91792-1679

Mailing address

1559 E. Amar Rd
#V
West Covina, CA 91792-1679
Phone (626) 913-3341

Other identifiers 1

IdentifierTypeStateIssuer
G-93504-01OtherDENTAL

Other names 1

  • Amar Family Dental Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amar Family Dental Practice2 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.

Locations

1559 E Amar Rd
Ste V
West Covina, CA 91792
Phone (626) 913-3341

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1790939676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 E. AMAR RD",
            "address_2": "#V",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-913-3341",
            "fax_number": "626-913-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 E. AMAR RD",
            "address_2": "#V",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-913-3341",
            "fax_number": "626-913-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTE REDEL APO DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "APO",
        "authorized_official_first_name": "ARTE REDEL",
        "authorized_official_middle_name": "SAMONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-913-3341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "G-93504-01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amar Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.