NPIMap

Organization Active NPI

Joshua Benjamin Rosales DDS Inc

  • Dental Clinic/Center
  • San Pablo, CA
National Provider Identifier
1184274565
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOSHUA BENJAMIN ROSALES DDS INC
Practice address
2089 Vale Rd Ste 30a
San Pablo, CA 94806-3850
Phone
(510) 236-1661
Fax
(510) 236-6380
NPI assigned
Sep 17, 2019
Last updated
Sep 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Joshua Benjamin Rosales, DDSNPI 1578046991
Title
Dr.
Phone
(510) 283-8209

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2089 Vale Rd Ste 30a
San Pablo, CA 94806-3850

Mailing address

2089 Vale Rd Ste 30a
San Pablo, CA 94806-3850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address OFFICE@SANPABLOSMILES.COM

National Provider Directory

National Provider Directory

Locations

2089 Vale Rd
Ste 30A
San Pablo, CA 94806
Phone (510) 236-1661

Interoperability endpoints

  • Direct secure messaging: office@sanpablosmiles.com

Practitioners & affiliated clinicians

Practitioners 1

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1184274565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 30A",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063850",
            "fax_number": "510-236-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 VALE RD STE 30A",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063850",
            "telephone_number": "510-236-1661",
            "fax_number": "510-236-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA BENJAMIN ROSALES DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "JOSHUA BENJAMIN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "510-283-8209",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "OFFICE@SANPABLOSMILES.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL ADDRESS",
            "address_1": "2089 Vale Rd Ste 30A",
            "city": "San Pablo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "948063850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.