A Professional Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS25066 Issued in CA

Legal business name

A PROFESSIONAL DENTAL CORPORATION

Practice address

1204 Cottonwood St
Suite 1
Woodland, CA 95695-4362

Phone

(530) 662-9191

Fax

(530) 662-3568

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Henry Portalupi, D.D.S., M.S.DNPI 1295273365

Title

Owner

Phone

(530) 662-9191

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard H Portalupi, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodland, CA
  • NPI 1295273365
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1003020280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST",
            "address_2": "SUITE 1",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362",
            "telephone_number": "530-662-9191",
            "fax_number": "530-662-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 COTTONWOOD ST",
            "address_2": "SUITE 1",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956954362",
            "telephone_number": "530-662-9191",
            "fax_number": "530-662-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "PORTALUPI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-662-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS25066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leal M Abbott, LCSW
• Amr Abdelaty, MD
• Bayan Ghazi Abed
• Alan E Aceves, PAC
• Spring Ackerman

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodland, CA
• Providers in Woodland, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.