NPIMap

Organization Active NPI

Rael Bernstein DDS a Prof Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vallejo, CA
National Provider Identifier
1063968477
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
46245 Issued in CA
Legal business name
RAEL BERNSTEIN DDS A PROF CORP
Practice address
1620 Valle Vista Ave
Ste 200
Vallejo, CA 94589-2842
Phone
(707) 552-4940
NPI assigned
Aug 27, 2016
Last updated
Aug 27, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
BERNSTEIN ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Authorized official

Name
Dr. Rael I Bernstein, DDSNPI 1992957864
Title
Orthodontist/Owner
Phone
(707) 575-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 46245 CA Primary

Addresses

Primary practice location

1620 Valle Vista Ave
Ste 200
Vallejo, CA 94589-2842

Mailing address

2245 Montgomery Dr
Santa Rosa, CA 95405-4900
Phone (707) 575-7545

National Provider Directory

National Provider Directory
Part of
Rael Bernstein DDS a Professional Corporation

Locations

2245 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 575-0600

1620 Valle Vista Ave
Ste 200
Vallejo, CA 94589
Phone (707) 552-4940

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1063968477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 MONTGOMERY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054900",
            "telephone_number": "707-575-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 VALLE VISTA AVE",
            "address_2": "STE 200",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892842",
            "telephone_number": "707-552-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAEL BERNSTEIN DDS A PROF CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERNSTEIN ORTHODONTICS",
        "enumeration_date": "2016-08-27",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "RAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "707-575-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; 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.