Joseph Vincent Ronderos Sr., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4254 Issued in AL

Practice address

420 Walker Dr
Springville, AL 35146-3250

Phone

(205) 467-6147

Fax

(205) 467-2933

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph Ronderos DMD PC

  • General Practice Dentistry
  • Springville, AL
  • NPI 1487999769
  NPD (past) Authorized official
• Doc Holliday, DMD, Inc.

  • Dental Clinic/Center
  • Springville, AL
  • NPI 1598652414
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902995095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "address_2": "420 WALKER DR",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351460706",
            "telephone_number": "205-467-6147",
            "fax_number": "205-467-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WALKER DR",
            "city": "SPRINGVILLE",
            "state": "AL",
            "postal_code": "351463250",
            "telephone_number": "205-467-6147",
            "fax_number": "205-467-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEROS",
        "first_name": "JOSEPH",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ratigan
• Renal Treatment Centers - Southeast, LP
• Renal Treatment Centers-Southeast, LP.
• Vikki Vaughan Rodgers
• Anna Marie Ronderos
• Savanna Love Rossman
• Ivey Davis Rutledge, D.M.D.
• Sally Self, MA LPC
• Elisabeth Cantrell Sewell, DMD
• Molly Shelton, CPNP

• All providers in Springville, AL
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.