Dr Rusen Elsinore Friendly Smiles Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR RUSEN ELSINORE FRIENDLY SMILES DENTAL INC

Practice address

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

Phone

(951) 674-4800

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rares D Rusen, DDS

Title

President

Phone

(213) 324-6000

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1972271344",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RUSEN ELSINORE FRIENDLY SMILES DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "RUSEN",
        "authorized_official_first_name": "RARES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-324-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "management@elsinorefriendlysmiles.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2503 E Lakeshore Dr Ste E",
            "city": "Lake Elsinore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925304433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Providers in Lake Elsinore, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.