Medina & Oliva Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEDINA & OLIVA DENTAL PC

Doing business as

Cascade Family Dental

Practice address

925 Corporate CNTR Pkwy Ste G
Santa Rosa, CA 95407-5453

Phone

(425) 647-0907

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David Alejandro Medina, DDSNPI 1346436870

Title

Dentist

Phone

(425) 647-0907

Specialties & licenses 1

Addresses

Other names 1

• Cascade Family Dental Doing business as

Locations

Practitioners 1

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.

• David Alejandro Medina, D.D.S.

  • Dentist
  • Seattle, WA
  • NPI 1346436870
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1427529601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 BELGRAVE DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543995",
            "telephone_number": "425-647-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CORPORATE CNTR PKWY STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075453",
            "telephone_number": "425-647-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA & OLIVA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-647-0907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ari Mechles, LCSW
• Gabriela Meckler, MD
• Robert K Meckstroth, D.D.S
• Medical Consultants of America a Professional Corporation
• Medical Support Los Angeles a Medical Corporation
• Cesar Ulyces Medina, PT
• Edgar Medina
• Ivan Medina
• Kayla Elyse Medina, NP
• Loi C Medvin, M.A., PSY.D.

• Dental Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.