Georgei Dental Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

53453 Issued in CA

Legal business name

GEORGEI DENTAL GROUP

Practice address

23771 Washington Ave Ste H102
Murrieta, CA 92562-2265

Phone

(951) 691-5096

Fax

(951) 691-5097

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Rania Georgei

Title

Owner/DDS

Phone

(951) 691-5096

Specialties & licenses 1

Addresses

Other names 1

• Copper Canyon Smiles Doing business as

Tax ID family

Copper Canyon Smiles2 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.

• Copper Canyon Smiles

  • General Practice Dentistry
  • Murrieta, CA
  • NPI 1669908893
  NPD tax ID

Locations

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1881095115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23771 WASHINGTON AVE STE H102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622265",
            "telephone_number": "951-691-5096",
            "fax_number": "951-691-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23771 WASHINGTON AVE STE H102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925622265",
            "telephone_number": "951-691-5096",
            "fax_number": "951-691-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGEI DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "GEORGEI",
        "authorized_official_first_name": "RANIA",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "951-691-5096"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "53453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Canyon Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daron Geldwert, MD
• Jonathan Mark Geller, O.D.
• Gem of the Valley Doula Project
• Billie L Gengler, LCSW
• Randall George
• Rania Mourad Georgei, D.M.D.
• Monique Georgitsis
• Katherine Gerardy
• Marcie Lou Gerdes, MFT
• Carrie Gerdik, FNP

• Health Maintenance Organization in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.