Rosalinda Miranda-Mauricio DDS a Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46112 Issued in CA

Legal business name

ROSALINDA MIRANDA-MAURICIO DDS A DENTAL CORP

Doing business as

NorthWest Dental Care

Practice address

2531 Howard Rd
Suite 103
Madera, CA 93637-5040

Phone

(559) 674-0927

Fax

(559) 674-0595

NPI assigned

Feb 14, 2012

Organization subpart

Yes

Parent organization

NORTHWEST DENTAL CAREAs reported in NPPES

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

Authorized official

Name

Dr. Rosalinda Miranda Mauricio, DDS

Title

President

Phone

(559) 674-0927

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NorthWest Dental Care Doing business as

Tax ID family

Northwest Dental Care2 organizations share this tax ID, including this one

Part of

Northwest Dental Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Dental Care

  • Dentist
  • Madera, CA
  • NPI 1912315821
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Dental Care

  • Dentist
  • Madera, CA
  • NPI 1912315821
  NPPES parent name

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1922371509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 HOWARD RD",
            "address_2": "SUITE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375040",
            "telephone_number": "559-674-0927",
            "fax_number": "559-674-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 HOWARD RD",
            "address_2": "SUITE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375040",
            "telephone_number": "559-674-0927",
            "fax_number": "559-674-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALINDA MIRANDA-MAURICIO DDS A DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST DENTAL CARE",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-674-0927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9310001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922371509",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthWest Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela M Romero-Waterman, MSW
• Larissa Nicole Romero
• Ana Luz Romo
• Ronald McDonald House Charities of the Central Valley, Inc.
• Mallory Roos, MA, PPS
• Jessica Rosas-Garcia, FNP
• Marisol Rosas
• Susan R Rosenthal, NP
• Stephanie Ross
• Dalene Roth, RN, PHN

• General Practice Dentistry in Madera, CA
• Providers in Madera, 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 Feb 14, 2012; 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.