Saint Helena Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27125 Issued in CA

Legal business name

SAINT HELENA DENTAL GROUP

Practice address

1485 Main St
Saint Helena, CA 94574-1850

Phone

(707) 963-2339

NPI assigned

Jan 23, 2015

Organization subpart

No

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

Authorized official

Name

Pauline Demetrakopulos, DDS

Title

Sole Proprietor

Phone

(707) 963-2321

Specialties & licenses 2

Addresses

Tax ID family

Saint Helena Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Studio of Aesthetic Dentistry

  • General Practice Dentistry
  • Saint Helena, CA
  • NPI 1669862926
  NPD tax ID

Locations

Practitioners 1

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

• Daniel Eyer, DDS

  • Dentist
  • Saint Helena, CA
  • NPI 1790105013
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1376933770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 MAIN ST",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741850",
            "telephone_number": "707-963-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 MAIN ST",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741850",
            "telephone_number": "707-963-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT HELENA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "DEMETRAKOPULOS",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "707-963-2321",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27125",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitilin K. Riley, D.D.S.
• Robert Louis Stevenson Middle School
• Leticia Esther Rosado Russell, PH.D., ATR-BC
• Beverly Salazar Ruppert
• Dana Sabin, LCSW, BCBA
• Griselda Salazar Hernandez
• Katherine Lynn Sallas
• Cristal Salomon
• Salus Medical Collective, a Professional Corporation
• Petra Schlenke, R.D.

• General Practice Dentistry in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.