Peninsula Orthodontic Group, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

50540 Issued in CA

Legal business name

PENINSULA ORTHODONTIC GROUP, INC

Practice address

11 Birch St Ste 100
Redwood City, CA 94062-1480

Phone

(650) 298-8400

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

James Tsau, DMDNPI 1124134523

Title

President

Phone

(650) 260-2868

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.

• James N Tsau, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redwood City, CA
  • NPI 1124134523
  NPD (past) Authorized official

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1104005529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 LEAHY ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613877",
            "telephone_number": "650-260-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BIRCH ST STE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621480",
            "telephone_number": "650-298-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA ORTHODONTIC GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "TSAU",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-260-2868",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "50540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Penaflor, RRT
• Arjun Vivek Pendharkar, MD
• Peninsula Eye Medical Group
• Peninsula Family Connections
• Peninsula Gastroenterology Medical Group Inc
• Peninsula Procedure Center, LP
• Peninsula Rsi Chiropractic Wellness Center, Inc
• Peninsula Rsi Chiropractic Wellness Center, Inc
• Peninsula Surgery Center, LLC
• Peninsula Urology Center Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Redwood City, CA
• Providers in Redwood City, 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 12, 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.