Organization Active NPI

Pedro a. Romero, D.D.S., Inc.

  • General Practice Dentistry
  • La Canada Flintridge, CA
National Provider Identifier
1891043667
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50517 Issued in CA
Legal business name
PEDRO A. ROMERO, D.D.S., INC.
Practice address
747 Foothill Blvd. Suite One
La Canada Flintridge, CA 91011-3437
Phone
(818) 790-1160
Fax
(818) 790-5603
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Pedro A. Romero, D.D.S.
Title
President
Phone
(818) 790-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50517 CA Primary

Addresses

Primary practice location

747 Foothill Blvd. Suite One
La Canada Flintridge, CA 91011-3437

Mailing address

747 Foothill Blvd. Suite One
La Canada Flintridge, CA 91011-3437
Phone (818) 790-1160

National Provider Directory

National Provider Directory

Locations

747 Foothill Blvd
Ste One
La Canada Flintridge, CA 91011
Phone (818) 790-1160

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1891043667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 FOOTHILL BLVD. SUITE ONE",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113437",
            "telephone_number": "818-790-1160",
            "fax_number": "818-790-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 FOOTHILL BLVD. SUITE ONE",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113437",
            "telephone_number": "818-790-1160",
            "fax_number": "818-790-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO A. ROMERO, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-790-1160",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.