Organization Active NPI

Ramos Dental, PC

  • Pediatric Dentistry
  • Santa Rosa, CA
National Provider Identifier
1063118552
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RAMOS DENTAL, PC
Practice address
1111 Sonoma Ave Ste 102
Santa Rosa, CA 95405-4813
Phone
(707) 544-4611
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Cheryl Willett, DDSNPI 1245352517
Title
Cfo
Phone
(707) 544-4611

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1111 Sonoma Ave Ste 102
Santa Rosa, CA 95405-4813

Mailing address

1111 Sonoma Ave Ste 102
Santa Rosa, CA 95405-4813
Phone (707) 544-4611

Other names 2

  • NorCal Pediatric Dentistry Doing business as
  • RAMOS PEDIATRIC DENTAL GROUP OF SANTA ROSA, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1111 Sonoma Ave
Ste 102
Santa Rosa, CA 95405
Phone (707) 544-4611

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1063118552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054813",
            "telephone_number": "707-544-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SONOMA AVE STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054813",
            "telephone_number": "707-544-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMOS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "707-544-4611",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorCal Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RAMOS PEDIATRIC DENTAL GROUP OF SANTA ROSA, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.