Active NPI
Serafica Dental Corporation
- General Practice Dentistry
- Windsor, CA
National Provider Identifier
1013052836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48180
- Legal business name
- SERAFICA DENTAL CORPORATION
- Practice address
- 9046 Brooks Rd S
Windsor, CA 95492-7811 - Phone
- (707) 836-8685
- Fax
- (707) 836-8631
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Regina Pronstroller Serafica, DMD
- Title
- Dentist Owner
- Phone
- (707) 836-8685
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48180 | CA | Primary |
Addresses
Primary practice location
9046 Brooks Rd S
Windsor, CA 95492-7811
Mailing address
9046 Brooks Rd S
Windsor, CA 95492-7811
Phone (707) 836-8685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B-48180-01 | Other | CA | HEALTHY FAMILIES |
| G-93771-01 | Medicaid | CA |
Other names 1
- Lakewood Dental
National Provider Directory
National Provider DirectoryLocations
9046 Brooks Rd S
Windsor, CA 95492
Phone (707) 836-8685
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Windsor, CA
- NPI 1235274754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013052836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9046 BROOKS RD S",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927811",
"telephone_number": "707-836-8685",
"fax_number": "707-836-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9046 BROOKS RD S",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927811",
"telephone_number": "707-836-8685",
"fax_number": "707-836-8631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERAFICA DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SERAFICA",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "PRONSTROLLER",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "707-836-8685",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY FAMILIES",
"identifier": "B-48180-01",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G-93771-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakewood Dental",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.