CHARLES RODGERS PROFESSIONAL DENTAL CORPORATION (NPI# 1174618946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174618946 |
| Entity Type | Organization |
| Organization Name | CHARLES RODGERS PROFESSIONAL DENTAL CORPORATION |
| Other Organization Name | NORTHRIDGE DENTAL OFFICE |
| Practice Address |
18519 Devonshire St Northridge CA 91324-1308 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 8188319990 |
| Practice Fax Number | 8188319996 |
| Mailing Telephone | 7145083600 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-02-05 |
| Authorized Official Name | DR. CHARLES F RODGERS (OWNER DDS) |
| Authorized Official Telephone | 8188319990 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35324 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| NORTHRIDGE DENTAL OFFICE | Doing Business As Name - Organization |
| Street Address |
18519 DEVONSHIRE ST |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518075654 | Michael E Koury | Dentist | 18519 Devonshire St, Northridge, CA 91324-1308 | 2006-08-28 |
| 1386296507 | Mega Harshad Patel | Dentist | 18519 Devonshire St, Northridge, CA 91324-1308 | 2019-07-09 |
| 1154860849 | Peter Wong | Dentist | 18519 Devonshire St, Northridge, CA 91324 | 2017-02-15 |
| 1720482276 | Tamim Sediq | Dentist | 18519 Devonshire St, Northridge, CA 91324-1308 | 2014-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451093 | Cesinita Alarcon Urbina Dds Inc. | Dentist | 19525 Nordhoff St Ste 30, Northridge, CA 91324-7408 | 2020-06-08 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1790276616 | Marufa Lala | Dentist | 11568 Viking Ave, Northridge, CA 91326-1815 | 2018-05-25 |
| 1255882403 | Heidi Chan | Dentist | 9241 Reseda Blvd Ste 104, Northridge, CA 91324-3191 | 2016-10-21 |
| 1205381340 | Nida Rioga Relativo, D.d.s., Inc | Dentist | 9535 Reseda Blvd Ste 213, Northridge, CA 91324-6028 | 2016-08-18 |
| 1245650597 | Shahdad Arami | Dentist | 9801 Balboa Bl, Northridge, CA 91325 | 2014-04-24 |
| 1558787424 | Daniel Herrera | Dentist | 18725 Roxburgh Pl, Northridge, CA 91326-1122 | 2014-03-14 |
| 1548540552 | Valley Ace Dental Group Joint | Dentist | 8345 Reseda Blvd Ste 101, Northridge, CA 91324-4648 | 2011-08-22 |
| 1417257767 | Mindy Park | Dentist | 8345 Reseda Blvd. #101, Northridge, CA 91324 | 2010-11-02 |
| 1962719120 | Khoi D Tran | Dentist | 9545 Reseda Blvd Ste 1, Northridge, CA 91324-2348 | 2010-09-09 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91324 |
Please comment or provide details below to improve the information on CHARLES RODGERS PROFESSIONAL DENTAL CORPORATION.
| 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.