Organization Active NPI

P and R Management

  • Pediatric Dentistry
  • Menifee, CA
National Provider Identifier
1851993307
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
P AND R MANAGEMENT
Practice address
27168 Newport Rd Ste 3
Menifee, CA 92584-7383
Phone
(951) 672-9666
Fax
(951) 672-7666
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Joseph Renzi Jr., MA, DDS
Title
Owner
Phone
(951) 672-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

27168 Newport Rd Ste 3
Menifee, CA 92584-7383

Mailing address

27168 Newport Rd Ste 3
Menifee, CA 92584-7383
Phone (951) 672-9666

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@allkidsdentalgroup.com Direct

National Provider Directory

National Provider Directory

Locations

27168 Newport Rd
Ste 3
Menifee, CA 92584
Phone (510) 378-8061

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1851993307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27168 NEWPORT RD STE 3",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847383",
            "telephone_number": "951-672-9666",
            "fax_number": "951-672-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27168 NEWPORT RD STE 3",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847383",
            "telephone_number": "951-672-9666",
            "fax_number": "951-672-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P AND R MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "RENZI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-672-9666",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA, DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@allkidsdentalgroup.com",
            "affiliation": "N",
            "endpointDescription": "secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mailing address",
            "address_1": "27168 Newport Rd Ste 3",
            "city": "Menifee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925847383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.