Dental Office of Albert Rincon DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL OFFICE OF ALBERT RINCON DDS INC.

Practice address

2503 E Lakeshore Dr Ste E
Lake Elsinore, CA 92530-4433

Phone

(951) 674-4800

Fax

(951) 674-4833

NPI assigned

Sep 5, 2019

Organization subpart

Yes

Parent organization

A RINCON DDS INC.As reported in NPPES

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

Authorized official

Name

Maria E Welbourne, M.A.ED

Title

Office Manager

Phone

(951) 674-4800

Specialties & licenses 2

Addresses

Other names 1

• Rincon DDS and Associates Inc. Other name

Part of

A Rincon DDS Inc

Locations

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.

• A Rincon DDS Inc

  • General Practice Dentistry
  • Lake Elsinore, CA
  • NPI 1053960575
  NPPES parent name

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1972152676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 E LAKESHORE DR STE E",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304433",
            "telephone_number": "951-674-4800",
            "fax_number": "951-674-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E LAKESHORE DR STE E",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304433",
            "telephone_number": "951-674-4800",
            "fax_number": "951-674-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1078 E Hospitality Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924082878",
            "country_code": "US",
            "telephone_number": "909-799-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL OFFICE OF ALBERT RINCON DDS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A RINCON DDS INC.",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "WELBOURNE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-674-4800",
        "authorized_official_credential": "M.A.ED"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rincon DDS and Associates Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rincon DDS and Associates Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 Sep 6, 2019; 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.