Woodcreek Dentistry Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

47783 Issued in CA

Legal business name

WOODCREEK DENTISTRY INC.

Practice address

7456 Foothills Blvd Ste 14
Roseville, CA 95747-6562

Phone

(916) 773-0800

Fax

(916) 773-0835

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brian Kenneth Ralli, DDSNPI 1457483505

Title

Owner

Phone

(916) 773-0800

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Brian Kenneth Ralli, D.D.S.

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1457483505
  NPD (past) Authorized official
• Ling Elena Ralli, D.D.S.

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1053439539
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1295062503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 FOOTHILLS BLVD.",
            "address_2": "#14",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "916-773-0800",
            "fax_number": "916-773-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 FOOTHILLS BLVD STE 14",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476562",
            "telephone_number": "916-773-0800",
            "fax_number": "916-773-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODCREEK DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "RALLI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-773-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47783",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Wong, O.D.
• Jonathan Woo
• Karen T. Woo, DO
• Kristina Wood, AS, PAT PARENT ED
• Stephanie Wood, MD
• Heather Mae Woodhouse, RN
• Chinelle Woodley
• Lori A Woods, CADC- II
• Sheree Woods, SLP
• Christine M Woodward, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.