NPIMap

Organization Active NPI

Edgar D. Roque, D.D.S., Inc

  • Dentist
  • Hanford, CA
National Provider Identifier
1831581537
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55681 Issued in CA
Legal business name
EDGAR D. ROQUE, D.D.S., INC
Practice address
719 N Douty St
Hanford, CA 93230-3986
Phone
(559) 772-8852
Fax
(559) 473-1475
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Dr. Edgar Dones Roque, DDS
Title
President
Phone
(559) 772-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 55681 CA Primary

Addresses

Primary practice location

719 N Douty St
Hanford, CA 93230-3986

Mailing address

719 N Douty St
Hanford, CA 93230-3986
Phone (559) 772-8852

National Provider Directory

National Provider Directory
Tax ID family
Edgar D Roque DDS Inc2 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

719 N Douty St
Hanford, CA 93230
Phone (559) 772-8852

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1831581537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303986",
            "telephone_number": "559-772-8852",
            "fax_number": "559-473-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303986",
            "telephone_number": "559-772-8852",
            "fax_number": "559-473-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR D. ROQUE, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "DONES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-772-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.