R & M Dental Management Co

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48832 Issued in CA

Legal business name

R & M DENTAL MANAGEMENT CO

Doing business as

Big Bear Dental Center

Practice address

42169-C Big Bear Blvd.
Big Bear Lake, CA 92315

Phone

(909) 866-1030

Fax

(909) 866-9990

NPI assigned

Mar 16, 2007

Last updated

Jun 27, 2008By 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. Farhad Mazi, D.D.S.

Title

Dentist

Phone

(909) 866-1030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Big Bear Dental Center Doing business as

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1922132109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7069",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923157069",
            "telephone_number": "909-866-1030",
            "fax_number": "909-866-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42169-C BIG BEAR BLVD.",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-1030",
            "fax_number": "909-866-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & M DENTAL MANAGEMENT CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MAZI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-866-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92354-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Bear Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David J Poole, D.D.S.
• Katheryn Poole, DDS
• Dolores Christine Price, CATC
• Rosemary Proff, FNP-C
• Lydia Marie Quick
• Ra and Kim Dental Corp (Lakeside Dental Group)
• Vigil Beth Solidum Rapiz, PHARMD, MHA, MPA
• Cheyenne Meriah Reyes
• Sherrill Lynn Reynolds, LCSW
• Leron Samuel Ribeiro-West, ACSW

• General Practice Dentistry in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.