Reuben I. Saucedo Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

43492 Issued in CA

Legal business name

REUBEN I. SAUCEDO DENTAL CORPORATION

Practice address

14461 Merced Ave
Suite 201
Baldwin Park, CA 91706-5100

Phone

(626) 939-9116

Fax

(626) 939-9119

NPI assigned

Dec 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Reuben I Saucedo, D.D.S.

Title

President

Phone

(626) 939-9116

Specialties & licenses 1

Addresses

Other names 1

• Today's Smiles Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387152000000",
    "number": "1811318033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14461 MERCED AVE",
            "address_2": "SUITE 201",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065100",
            "telephone_number": "626-939-9116",
            "fax_number": "626-939-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14461 MERCED AVE",
            "address_2": "SUITE 201",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065100",
            "telephone_number": "626-939-9116",
            "fax_number": "626-939-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUBEN I. SAUCEDO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-939-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today's Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harini Reddy, M.D.
• Jennifer Damiana Redona, MD
• Phillip C. Reed, MD
• Reliable Medical Management
• Zhongwei Ren, LMFT
• Celina Rebecca Reyes, MSW
• Diana Reyes, PHARMD
• Tommy Alex Reyes
• Viviana Reyna
• Bradley R Reynolds, PA

• Dentist in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.