Organization Active NPI

Robert R. Iannello, DDS, Inc.

  • Dental Clinic/Center
  • Moreno Valley, CA
National Provider Identifier
1801210570
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
33101 Issued in CA
Legal business name
ROBERT R. IANNELLO, DDS, INC.
Practice address
23940 Ironwood Ave
Suite C
Moreno Valley, CA 92557-7154
Phone
(951) 242-4000
NPI assigned
Feb 14, 2014
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Dr. Robert Richard Iannello, DDSNPI 1598851511
Title
Dentist/Ceo
Phone
(951) 242-4000

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 33101 CA Primary

Addresses

Primary practice location

23940 Ironwood Ave
Suite C
Moreno Valley, CA 92557-7154

Mailing address

23940 Ironwood Ave
Suite C
Moreno Valley, CA 92557-7154
Phone (951) 242-4000

National Provider Directory

National Provider Directory

Locations

23940 Ironwood Ave
Ste C
Moreno Valley, CA 92557
Phone (951) 242-4000

Practitioners & affiliated clinicians

Practitioners 1

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": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1801210570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23940 IRONWOOD AVE",
            "address_2": "SUITE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577154",
            "telephone_number": "951-242-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23940 IRONWOOD AVE",
            "address_2": "SUITE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577154",
            "telephone_number": "951-242-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. IANNELLO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "IANNELLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "951-242-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.