Jardosh Dental Group Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JARDOSH DENTAL GROUP INC.

Practice address

1441 N Hacienda Blvd Ste a
La Puente, CA 91744-1191

Phone

(626) 917-5830

NPI assigned

Jun 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Roshan R Jardosh, DDSNPI 1295095677

Title

Owner

Phone

(865) 406-7393

Specialties & licenses 1

Addresses

Other names 1

• My Dentist La Puente Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roshan R Jardosh, D.D.S.

  • General Practice Dentistry
  • Takoma Park, MD
  • NPI 1295095677
  NPD Authorized official

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1891362562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 RAVILLER DR",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403310",
            "telephone_number": "865-406-7393",
            "fax_number": "626-917-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N HACIENDA BLVD STE A",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441191",
            "telephone_number": "626-917-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARDOSH DENTAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "JARDOSH",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-406-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist La Puente",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Huntington Medical Diagnostics, Inc.
• Annielynn Dayao Ibale
• Joseph Andrew Ibarra, O.D.
• Maritza Islas
• Allison Jenifer J Sanchez
• Michelle Amanda Jarrett
• JC de la Osa, DDS, Inc
• Jingying Jiao
• Jacqueline M Jimenez
• Lisa Jimenez

• Dental Clinic/Center in La Puente, CA
• Providers in La Puente, 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 Jun 9, 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.