Redford Vista Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

REDFORD VISTA DENTAL CORPORATION

Practice address

630 Alta Vista Dr Ste 108
Vista, CA 92084-5505

Phone

(760) 724-6537

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Valerie Rogers

Title

Office Manager

Phone

(951) 677-5113

Specialties & licenses 1

Addresses

Other names 1

• Vista Family Dental Doing business as

Locations

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1952002602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ALTA VISTA DR STE 108",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845505",
            "telephone_number": "760-724-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ALTA VISTA DR STE 108",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920845505",
            "telephone_number": "760-724-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDFORD VISTA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-677-5113"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riley Jean Raynor
• Nicole Lynn Rayta, APRN, FNP-C
• Caitlin Reames
• Jeannette Reardon
• Rebeccah Rodriguez Regner LLC
• Leanne Reece, LMFT
• Regina Reed
• Jason Reesor, D.D.S.
• Lavonna Marie Reeves, RN458325
• Regency Eye Care, Inc.

• Dental Clinic/Center in Vista, CA
• Providers in Vista, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.