Gregory Roman Rubin DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39879 Issued in CA

Legal business name

GREGORY ROMAN RUBIN DDS

Practice address

7111 Winnetka Ave
Canoga Park, CA 91306-3672

Phone

(866) 900-1757

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Hsu, MD

Title

Cfo

Phone

(866) 900-1757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1841594926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 WINNETKA AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063672",
            "telephone_number": "866-900-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 WINNETKA AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913063672",
            "telephone_number": "866-900-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY ROMAN RUBIN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "866-900-1757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.