NPIMap

Organization Active NPI

Jeffers Dentistry Partnership

  • General Practice Dentistry
  • Santa Rosa, CA
National Provider Identifier
1285035527
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51942 Issued in CA
Legal business name
JEFFERS DENTISTRY PARTNERSHIP
Practice address
1820 Sonoma Ave Ste 42
Santa Rosa, CA 95405-6617
Phone
(707) 528-6343
Fax
(707) 528-0316
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. Kevin Todd Jeffers, D.D.S.NPI 1184725830
Title
Partner
Phone
(707) 528-6343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 51942 CA Primary

Addresses

Primary practice location

1820 Sonoma Ave Ste 42
Santa Rosa, CA 95405-6617

Mailing address

1820 Sonoma Ave Ste 42
Santa Rosa, CA 95405-6617
Phone (707) 528-6343

Other names 1

  • Jeffers Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1820 Sonoma Ave
Ste 42
Santa Rosa, CA 95405
Phone (707) 528-6343

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1285035527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE STE 42",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056617",
            "telephone_number": "707-528-6343",
            "fax_number": "707-528-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE STE 42",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056617",
            "telephone_number": "707-528-6343",
            "fax_number": "707-528-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERS DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "707-528-6343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffers Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.