Organization Active NPI

Paolo a Poidmore, DDS, MSD, a Professional Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Folsom, CA
National Provider Identifier
1285458620
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PAOLO A POIDMORE, DDS, MSD, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Poidmore Orthodontics
Practice address
2310 E Bidwell St Ste 250
Folsom, CA 95630-3586
Phone
(916) 259-9255
NPI assigned
Nov 12, 2024
Organization subpart
Yes
Parent organization
PAOLO A POIDMORE, DDS, MSD, A PROFESSIONAL DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Paolo Poidmore
Title
Owner
Phone
(916) 259-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2310 E Bidwell St Ste 250
Folsom, CA 95630-3586

Mailing address

3075 Beacon Blvd
West Sacramento, CA 95691-3462

Other names 1

  • Poidmore Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paolo a Poidmore DDS MSD a Professional Dental Corporation2 organizations share this tax ID, including this one
Part of
Paolo a Poidmore DDS MSD a Professional Dental Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2310 E Bidwell St
Ste 250
Folsom, CA 95630
Phone (916) 520-3325

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1285458620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E BIDWELL ST STE 250",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303586",
            "telephone_number": "916-259-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLO A POIDMORE, DDS, MSD, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAOLO A POIDMORE, DDS, MSD, A PROFESSIONAL DENTAL CORPORATION",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "POIDMORE",
        "authorized_official_first_name": "PAOLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-259-9255",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poidmore Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.