Efren P Rodriquez DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

32988 Issued in CA

Legal business name

EFREN P RODRIQUEZ DDS INC

Practice address

10421 Hole Ave
Riverside, CA 92505

Phone

(951) 687-3500

Fax

(951) 687-2640

NPI assigned

Jul 7, 2006

Last updated

Jan 22, 2020By 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. Efren P Rodriguez, DDSNPI 1912164609

Title

President

Phone

(951) 687-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Efren P Rodriguez, DDS

  • Dentist
  • Riverside, CA
  • NPI 1912164609
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1932132784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 HOLE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-687-3500",
            "fax_number": "951-687-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10421 HOLE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-687-3500",
            "fax_number": "951-687-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFREN P RODRIQUEZ DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EFREN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-687-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Camille Edwards, R.D.
• Krista Edwards
• La Honda Edwards
• Neal C Edwards, DDS
• Tyeazka Traniece Edwards, LVN
• Liviu Florian Eftimie, D.D.S, M.S., D.M.D.
• Dinery Concepcion Egan, M.S.
• Egb Holdings (Advantage Health Systems)
• Egb Holdings (Advantage Health Systems)
• Harrison Egbule

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.