Rodef Dental Office of Reseda Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

38356 Issued in CA

Legal business name

RODEF DENTAL OFFICE OF RESEDA INC

Practice address

6846 Reseda Blvd Ste C
Reseda, CA 91335-8512

Phone

(310) 625-3773

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Fariborz Rodef, DDSNPI 1548357262

Title

Owner

Phone

(626) 412-0200

Specialties & licenses 1

Addresses

Other names 1

• Childrens dental funzone 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.

• Fariborz Rodef, DDS

  • Pediatric Dentistry
  • West Covina, CA
  • NPI 1548357262
  NPD (past) Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1912367012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 RESEDA BLVD STE C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358512",
            "telephone_number": "310-625-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 RESEDA BLVD STE C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358512",
            "telephone_number": "310-625-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEF DENTAL OFFICE OF RESEDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "RODEF",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-412-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens dental funzone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juan Carlos Rivera
• Robert Michael Hutchman, M.D., Inc.
• Robert N. Mettam PT and David N. Pevsner PT
• William James Roberts, PSYD, LMFT
• Dawn Robinson
• David Rodriguez
• Gilberto Rodriguez
• Michelle Jacqueline Rodriguez
• Robert Rodriguez
• Roberto Rodriguez Jr., FNP-C

• Pediatric Dentistry in Reseda, CA
• Providers in Reseda, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.