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Deactivated NPI 1700067121 Deactivated / Inactive NPI Male Practitioner

Dr. Mario Reduardo Rivera Espiritu , DMD

Dentist • Norwalk, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mario Reduardo Espiritu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2007
NPI Deactivation Date November 21, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mario Reduardo Espiritu, DMD was a registered Dentist practicing in Norwalk, CA. Throughout an active medical career spanning 17 years, Dr. Espiritu provided care at the practice location at 11818 ROSECRANS AVE until profile deactivation on 2024-11-21.

Practice Location & Contact Primary Location

Practice Address

11818 Rosecrans Ave
Suite B

Norwalk, CA 906504101

Telephone 5624063826
Associated Practice Facility / Clinic
🏢 Clevis Management Corp Facility NPI 1669887378

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Norwalk, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
31 Specialists

Practicing in Norwalk, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 40813

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Eun Soo Lee , DDS

Dentist - General Practice

NPI 1235654096

Doctor of Dental Surgery

NPI 1629176102

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 21, 2024

Record deactivated on November 21, 2024

NPI Profile Active November 14, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 14, 2007

Registered at 11818 ROSECRANS AVE, SUITE B, NORWALK, CA 906504101 (Tel: 5624063826)

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Updated Business Mailing Address November 14, 2007

Registered at 11818 ROSECRANS AVE, SUITE B, NORWALK, CA 906504101

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Provider Name / Credentials Updated November 14, 2007

Recorded as MARIO REDUARDO ESPIRITU, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2007

Dentist (License #40813 in CA)

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Initial NPI Registration & Enumeration November 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700067121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2007
Last Update: November 14, 2007
Deactivation Date: November 21, 2024

Mailing Address

11818 Rosecrans Ave, Suite B

Norwalk, CA 906504101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.