VASQUEZ DENTAL CORPORATION (NPI# 1114297785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114297785 |
| Entity Type | Organization |
| Organization Name | VASQUEZ DENTAL CORPORATION |
| Other Organization Name | TRI-CITY CHILDREN'S DENTISTRY |
| Practice Address |
2420 Vista Way Ste 210 Oceanside CA 92054 |
| Mailing Address |
2420 Vista Way Ste 210 Oceanside CA 92054-6190 |
| Practice Telephone | 7607241102 |
| Practice Fax Number | 7607241471 |
| Mailing Telephone | 7607241102 |
| Mailing Fax Number | 7607241471 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2018-12-21 |
| Authorized Official Name | DR. JOSE ANGELO RAGON VASQUEZ (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7607241102 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
54036 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI TYPE I | 1770613598 | 01 |
| CA | D54036 | 05 |
| Other Name | Type Code |
|---|---|
| Tri-City Children's Dentistry | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 925 E Pennsylvania Ave Ste F, Escondido, CA 920253432 | 7605462636 |
| Street Address |
2420 VISTA WAY STE 210 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770613598 | Jose Angelo Ragon Vasquez | Dentist | 2420 Vista Way Ste 210, Oceanside, CA 92054-6190 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770613598 | Jose Angelo Ragon Vasquez | Dentist | 2420 Vista Way Ste 210, Oceanside, CA 92054-6190 | 2007-03-07 |
| 1598807489 | Roland Masayuki Buyama | Dentist | 101 S Nevada St, Oceanside, CA 92054-3036 | 2007-02-14 |
| 1982623757 | Ronald John Bills | Dentist | 3230 Waring Ct Ste Q, Oceanside, CA 92056-4509 | 2006-07-19 |
| 1710492954 | R A Penman II, Dds A Professional Dental Corporation | Dentist | 2123 S El Camino Real, Oceanside, CA 92054-6271 | 2017-12-11 |
| 1376841361 | Kids Smile Pediatric Dentistry | Dentist | 3142 Vista Way Ste 305, Oceanside, CA 92056-3629 | 2011-03-01 |
| 1902138886 | Ali Manouchehri Dds Apc | Dentist | 3230 Waring Ct, Suite Q, Oceanside, CA 92056-4509 | 2010-02-03 |
| 1578725909 | Binita Chatur Katheria | Dentist | 3230 Waring Ct Ste Q, Oceanside, CA 92056-4509 | 2008-06-26 |
| 1255512299 | Pamela Lynn Sands | Dentist | 2882 Long Beach Rd, Oceanside, NY 11572-3114 | 2007-11-19 |
| 1184835233 | Roland M. Buyama, D.d.s., Inc. | Dentist | 101 S Nevada St, Oceanside, CA 92054-3036 | 2007-05-24 |
| 1609931336 | Barry Stephen Reder | Dentist | 3230 Waring Ct, Suite C, Oceanside, CA 92056-4509 | 2006-12-22 |
| Find all providers in OCEANSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.