Organization Active NPI

Cervantes Dental Corporation

  • General Practice Dentistry
  • Escondido, CA
National Provider Identifier
1912379819
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CERVANTES DENTAL CORPORATION
Doing business as
CaliDental
Practice address
342 S Broadway
Escondido, CA 92025-4207
Phone
(760) 747-4242
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Dr. Rigoberto Cervantes, DDS
Title
Owner/Dentist
Phone
(760) 747-4242

Specialties & licenses 1

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

Addresses

Primary practice location

342 S Broadway
Escondido, CA 92025-4207

Mailing address

PO Box 33448
San Diego, CA 92163-3448
Phone (760) 747-4242

Other names 1

  • CaliDental Doing business as

National Provider Directory

National Provider Directory

Locations

342 S Broadway
Escondido, CA 92025
Phone (760) 745-4241

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1912379819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33448",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633448",
            "telephone_number": "760-747-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S BROADWAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254207",
            "telephone_number": "760-747-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERVANTES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "RIGOBERTO",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "760-747-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaliDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.