Joseph L. Eliason, DDS, MSD, Apc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

64553 Issued in CA

Legal business name

JOSEPH L. ELIASON, DDS, MSD, APC

Doing business as

SMILE Orthodontics

Practice address

1880 Sonoma Ave
Santa Rosa, CA 95405-4953

Phone

(707) 546-4880

Fax

(707) 546-0166

NPI assigned

May 9, 2016

Last updated

May 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Eliason, DDS, MSDNPI 1215357892

Title

Owner Doctor

Phone

(707) 548-4880

Specialties & licenses 1

Addresses

Other names 1

• SMILE Orthodontics Doing business as

Locations

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.

• Joseph Eliason, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Rosa, CA
  • NPI 1215357892
  Authorized official Same address or phone

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1215383260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054953",
            "telephone_number": "707-546-4880",
            "fax_number": "707-546-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054953",
            "telephone_number": "707-546-4880",
            "fax_number": "707-546-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L. ELIASON, DDS, MSD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "ELIASON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "707-548-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "64553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent Jones
• Leana Jordan, RN773622
• Veronica Jordan, MD
• Jorge Vasquez-Garcia DDS Dental Corp
• Jenna C Jorgensen
• David Joseph, PH.D.
• Dominique Patrice Joseph
• Matthew N. Joseph, MD
• Neha Joshi
• Sara Joslyn, PH.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, 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 May 9, 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.