Organization Active NPI

Rody Paz Casanova Dental Inc.

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1831661586
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RODY PAZ CASANOVA DENTAL INC.
Practice address
1655 S Western Ave Ste C
Los Angeles, CA 90006-5801
Phone
(323) 529-0002
NPI assigned
Dec 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Rody Paz CasanovaNPI 1457482069
Title
Office Manager
Phone
(626) 416-5500

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1655 S Western Ave Ste C
Los Angeles, CA 90006-5801

Mailing address

10728 Ramona Blvd Ste D
El Monte, CA 91731-2601
Phone (626) 416-5500

Other names 1

  • Happy Smiles Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519000378 CA Part B Supplier - Clinic/Group Practice 8527424431 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1655 S Western Ave
Ste C
Los Angeles, CA 90006
Phone (323) 529-0002

Practitioners & affiliated clinicians

Practitioners 3

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": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1831661586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10728 RAMONA BLVD STE D",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312601",
            "telephone_number": "626-416-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 S WESTERN AVE STE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065801",
            "telephone_number": "323-529-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODY PAZ CASANOVA DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "PAZ CASANOVA",
        "authorized_official_first_name": "RODY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-416-5500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Smiles",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Happy Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.