NPIMap

Organization Active NPI

Dr Leo a Rudoy DDS Dental Corporation

  • Dentist
  • Chatsworth, CA
National Provider Identifier
1932235678
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51132 Issued in CA
Legal business name
DR LEO A RUDOY DDS DENTAL CORPORATION
Practice address
21534 Devonshire St
#'C'
Chatsworth, CA 91311-2987
Phone
(818) 993-0202
Fax
(818) 993-0102
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Leo Aroni Rudoy, D.D.S.NPI 1528253903
Title
Dentist
Phone
(818) 993-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 51132 CA Primary

Addresses

Primary practice location

21534 Devonshire St
#'C'
Chatsworth, CA 91311-2987

Mailing address

21534 Devonshire St
#'C'
Chatsworth, CA 91311-2987
Phone (818) 993-0202

National Provider Directory

National Provider Directory

Locations

21534 Devonshire St
Ste C
Chatsworth, CA 91311
Phone (818) 993-0202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1932235678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21534 DEVONSHIRE ST",
            "address_2": "#'C'",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112987",
            "telephone_number": "818-993-0202",
            "fax_number": "818-993-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21534 DEVONSHIRE ST",
            "address_2": "#'C'",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112987",
            "telephone_number": "818-993-0202",
            "fax_number": "818-993-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LEO A RUDOY DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "RUDOY",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "ARONI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-993-0202",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.