NPIMap

Organization Active NPI

Ruby Dacio DDS & Lutgarda Perez DDS Dental Corp

Doing business as Riverwalk Dental Professionals

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1841465945
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RUBY DACIO DDS & LUTGARDA PEREZ DDS DENTAL CORP
Doing business as
Riverwalk Dental Professionals
Practice address
9300 Stockdale Hwy
Suite# 500
Bakersfield, CA 93311-3613
Phone
(661) 654-0758
Fax
(661) 654-0758
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Ruby E Dacio, DMD
Title
Cfo
Phone
(661) 746-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9300 Stockdale Hwy
Suite# 500
Bakersfield, CA 93311-3613

Mailing address

9300 Stockdale Hwy
Suite# 500
Bakersfield, CA 93311-3613
Phone (661) 746-4067

Other identifiers 2

IdentifierTypeStateIssuer
B44243-01OtherCAHEALTHY FAMILY
G-91807-01MedicaidCA

Other names 1

  • Riverwalk Dental Professionals Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverwalk Dental Professionals2 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

9300 Stockdale Hwy
Ste 500
Bakersfield, CA 93311
Phone (661) 654-0758

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1841465945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HWY",
            "address_2": "SUITE# 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113613",
            "telephone_number": "661-746-4067",
            "fax_number": "661-746-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 STOCKDALE HWY",
            "address_2": "SUITE# 500",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113613",
            "telephone_number": "661-654-0758",
            "fax_number": "661-654-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY DACIO DDS & LUTGARDA PEREZ DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "DACIO",
        "authorized_official_first_name": "RUBY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-746-4067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILY",
            "identifier": "B44243-01",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G-91807-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverwalk Dental Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.