Active NPI
Paolo a Poidmore, DDS, MSD, a Professional Dental Corporation
- Orthodontics and Dentofacial Orthopedics Dentistry
- Folsom, CA
National Provider Identifier
1285458620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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 CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider Directory- Tax ID family
- Paolo a Poidmore DDS MSD a Professional Dental Corporation
- 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Orangevale, CA
- NPI 1639537863
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Orangevale, CA
- NPI 1639537863
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.