Rontal & Wedeking DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

50191 Issued in CA

Legal business name

RONTAL & WEDEKING DDS INC

Practice address

2201 Balfour Rd
D
Brentwood, CA 94513-4927

Phone

(925) 516-8886

Fax

(925) 516-9876

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Todd Wedeking, DDSNPI 1235142787

Title

Co Owner

Phone

(925) 516-8886

Specialties & licenses 2

Addresses

Other names 1

• Delta Bay Dental Group Doing business as

Locations

Practitioners 2

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

• Todd Wedeking, DDS

  • Dentist
  • Brentwood, CA
  • NPI 1235142787
  NPD (past) Authorized official
• Tane Tanzo Rontal, DDS

  • Dentist
  • Brentwood, CA
  • NPI 1922366574
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1225223142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BALFOUR RD",
            "address_2": "D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134927",
            "telephone_number": "925-516-8886",
            "fax_number": "925-516-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BALFOUR RD",
            "address_2": "D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134927",
            "telephone_number": "925-516-8886",
            "fax_number": "925-516-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONTAL & WEDEKING DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "WEDEKING",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "925-516-8886",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50191",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Bay Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melinda Roman, D.C.
• Sandra Roman, PPS
• Holly Ann Romero, SLPA
• Jessica Romero
• Annalisa Marie Ronning
• Tane Tanzo Rontal, DDS
• Ria Anne Sugijanto Root, DPT
• Gea Gabrielle Serafica Rosales, PT
• Paige Rosano, MS, CCC-SLP
• Elena Lucille Rosas

• Dentist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.