Organization Active NPI

Paula J. Roemer, DDS, Inc.

Doing business as Olympic Dental Walnut Creek

  • Dentist
  • Walnut Creek, CA
National Provider Identifier
1245124080
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PAULA J. ROEMER, DDS, INC.
Doing business as
Olympic Dental Walnut Creek
Practice address
1901 Olympic Blvd Ste 105
Walnut Creek, CA 94596-5024
Phone
(925) 935-3030
NPI assigned
Jun 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Gaby James
Title
Credentialing Specialist
Phone
(480) 389-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1901 Olympic Blvd Ste 105
Walnut Creek, CA 94596-5024

Mailing address

1901 Olympic Blvd Ste 105
Walnut Creek, CA 94596-5024
Phone (925) 935-3030

Other names 1

  • Olympic Dental Walnut Creek Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1245124080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 OLYMPIC BLVD STE 105",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965024",
            "telephone_number": "925-935-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OLYMPIC BLVD STE 105",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965024",
            "telephone_number": "925-935-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA J. ROEMER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GABY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-389-3350"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Dental Walnut Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.