Organization Active NPI

C. Karkia, D.D.S. , M.S.a Professional Corporation

  • Endodontics
  • Petaluma, CA
National Provider Identifier
1316137607
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
49766 Issued in CA
Legal business name
C. KARKIA, D.D.S. , M.S.A PROFESSIONAL CORPORATION
Doing business as
North Bridge Orthodontics
Practice address
135 Keller St
Suite E
Petaluma, CA 94952-2943
Phone
(707) 789-9399
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Claudia Karkia, D. D.S.
Title
President
Phone
(707) 789-9399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 49766 CA Primary

Addresses

Primary practice location

135 Keller St
Suite E
Petaluma, CA 94952-2943

Mailing address

135 Keller St
Suite E
Petaluma, CA 94952-2943
Phone (707) 789-9399

Other names 1

  • North Bridge Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

135 Keller St
Ste E
Petaluma, CA 94952
Phone (707) 789-9399

Practitioners & affiliated clinicians

Practitioners 1

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1316137607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 KELLER ST",
            "address_2": "SUITE E",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522943",
            "telephone_number": "707-789-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KELLER ST",
            "address_2": "SUITE E",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522943",
            "telephone_number": "707-789-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. KARKIA, D.D.S. , M.S.A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "KARKIA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-789-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "49766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bridge Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.