Roger W. Ashworth a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25118 Issued in CA

Legal business name

ROGER W. ASHWORTH A PROFESSIONAL CORPORATION

Doing business as

Smile Art Dental Arbuckle

Practice address

102 Fifth Street
Arbuckle, CA 95912

Phone

(530) 476-2219

Fax

(530) 476-2930

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Walter Ashworth, DDSNPI 1932253010

Title

Owner

Phone

(916) 919-1841

Specialties & licenses 1

Addresses

Other names 1

• Smile Art Dental Arbuckle Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger Walter Ashworth I, DDS

  • General Practice Dentistry
  • Arbuckle, CA
  • NPI 1932253010
  NPD (past) Authorized official

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1891112249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20030 OLD RIVER RD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956918004",
            "telephone_number": "916-919-1841",
            "fax_number": "530-476-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FIFTH STREET",
            "city": "ARBUCKLE",
            "state": "CA",
            "postal_code": "95912",
            "telephone_number": "530-476-2219",
            "fax_number": "530-476-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W. ASHWORTH A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "ASHWORTH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-919-1841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "25118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Art Dental Arbuckle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Antonio Molina, M.D.
• Adriana P Orozco
• Pierce Joint Unified School District
• Prashant Poplai, DDS
• Daisy Natalie Rios
• Ana Michelle Rothhammer-Ruiz, NP
• Cielo Sahagun Ramos
• Julie Marie Slupski, OT/L
• Renata Valenzuela
• Kade Sue Wilson, RN, PHN

• Dental Clinic/Center in Arbuckle, CA
• Providers in Arbuckle, 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 24, 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.