Rudolph E. Roman, D.M.D, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RUDOLPH E. ROMAN, D.M.D, INC

Doing business as

Rudolph E. Roman, D.M.D

Practice address

9510 Cuyamaca St Ste 102
Santee, CA 92071-2686

Phone

(619) 449-6009

Fax

(619) 449-1460

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Credentialing Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Rudolph E. Roman, D.M.D Doing business as

Locations

Practitioners 2

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.

• Chloe Love Fairman, DDS

  • Dentist
  • Santee, CA
  • NPI 1710807532
  NPD (past)
• Rudolph E. Roman, D.M.D.

  • General Practice Dentistry
  • Santee, CA
  • NPI 1992853360
  NPD (past)

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1992421119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 CUYAMACA ST STE 102",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712686",
            "telephone_number": "619-449-6009",
            "fax_number": "619-449-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 CUYAMACA ST STE 102",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712686",
            "telephone_number": "619-449-6009",
            "fax_number": "619-449-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH E. ROMAN, D.M.D, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rudolph E. Roman, D.M.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Rothstein, D.M.D.
• Norma Khalife Rouillard, PT
• RSWC
• Sydney Ann Rubi, SUDRC
• Cassandra Rebecca Rude, MA
• Melody A Rudolph, BS, CMT, CST, CIMI
• Garrett David Rueda, PHARM D.
• Cecilia Gonzalez Ruiz, PA-C
• Robin Russ, COTA/L
• Rygg Dental Corporation (Town Center Dental Group)

• General Practice Dentistry in Santee, CA
• Providers in Santee, 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 Oct 19, 2022; 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.