Redford Fallbrook Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

REDFORD FALLBROOK DENTAL CORPORATION

Practice address

521 E Elder St Ste 203
Fallbrook, CA 92028-3083

Phone

(760) 280-6727

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Valerie A Rogers

Title

Office Manager

Phone

(951) 677-5113

Specialties & licenses 1

Addresses

Other names 1

• A Smile Shoppe Doing business as

Locations

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1851091789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 203",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283083",
            "telephone_number": "760-280-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 203",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283083",
            "telephone_number": "760-280-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFORD FALLBROOK DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-677-5113"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Smile Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rancho Physical Therapy, Inc.
• Randall Wegener Acupuncturist, Inc
• Tambra Lajoy Ratledge, FNP-C
• Julia Christine Raucci, CMT
• Kelly Phuong Rausch, DC
• Janet R Reed-Massman, LCSW
• Regency @ Fallbrook, LLC
• Holly Jennean Rennick
• Misty Serena Renteria
• Sarah Renteria

• Dental Clinic/Center in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.