NPIMap

Organization Active NPI

Russel R Jacinto DMD Inc

  • General Practice Dentistry
  • Glendale, CA
National Provider Identifier
1881060838
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37841 Issued in CA
Legal business name
RUSSEL R JACINTO DMD INC
Practice address
144 N Glendale Ave
Suite 100
Glendale, CA 91206-4903
Phone
(818) 240-6705
Fax
(818) 240-3758
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Authorized official

Name
Dr. Russel R Jacinto, DMDNPI 1578610903
Title
Owner/Dentist
Phone
(818) 240-6705

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 37841 CA Primary

Addresses

Primary practice location

144 N Glendale Ave
Suite 100
Glendale, CA 91206-4903

Mailing address

144 N Glendale Ave
Suite 100
Glendale, CA 91206-4903
Phone (818) 240-6705

National Provider Directory

National Provider Directory

Locations

144 N Glendale Ave
Ste 100
Glendale, CA 91206
Phone (818) 240-6705

Practitioners & affiliated clinicians

Practitioners 1

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1881060838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N GLENDALE AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064903",
            "telephone_number": "818-240-6705",
            "fax_number": "818-240-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N GLENDALE AVE",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064903",
            "telephone_number": "818-240-6705",
            "fax_number": "818-240-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSEL R JACINTO DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "JACINTO",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "818-240-6705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.