Organization Active NPI

Willett and Ramos Dental, PC

Doing business as Santa Rosa Pediatric Dentistry

  • Pediatric Dentistry
  • Santa Rosa, CA
National Provider Identifier
1316406309
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WILLETT AND RAMOS DENTAL, PC
Doing business as
Santa Rosa Pediatric Dentistry
Practice address
515 Farmers LN
Santa Rosa, CA 95405-4917
Phone
(707) 527-8509
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Dr. Cheryl Willett, DDS
Title
Treasurer
Phone
(707) 527-8509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

515 Farmers LN
Santa Rosa, CA 95405-4917

Mailing address

515 Farmers LN
Santa Rosa, CA 95405-4917
Phone (707) 527-8509

Other names 1

  • Santa Rosa Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1316406309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FARMERS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054917",
            "telephone_number": "707-527-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FARMERS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054917",
            "telephone_number": "707-527-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLETT AND RAMOS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "707-527-8509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Rosa Pediatric 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 Feb 20, 2023; 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.