Rudolph E. Roman, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42697 Issued in CA

Practice address

9510 Cuyamaca St
Suite 102
Santee, CA 92071-2686

Phone

(619) 449-6009

Fax

(619) 449-1460

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rudolph E. Roman, D.M.D, Inc

  • General Practice Dentistry
  • Santee, CA
  • NPI 1992421119
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992853360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13642 GROSSE PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284762",
            "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",
            "address_2": "SUITE 102",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712686",
            "telephone_number": "619-449-6009",
            "fax_number": "619-449-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "RUDOLPH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Risi, SUDRC
• Tricia M Robertson
• Roy J Robinson, M.D, D.C
• Elizabeth M. Rodriguez, RDHAP
• Irma Valerie Rodriguez
• Lairlyn Anonuevo Romeroso, RN
• Shielamae Gealon Roque
• Michelle Rosenberg, PHARMD
• Mark Rothstein, D.M.D.
• Norma Khalife Rouillard, PT

• 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 Jul 8, 2007; 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.