NPIMap

Organization Active NPI

Erlach Anderson Temnitzer Dental Partnership

Doing business as Fountaingrove Dentistry

  • Dental Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1427660695
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ERLACH ANDERSON TEMNITZER DENTAL PARTNERSHIP
Doing business as
Fountaingrove Dentistry
Practice address
2305 Mendocino Ave Ste a
Santa Rosa, CA 95403-3157
Phone
(707) 525-1500
NPI assigned
Aug 19, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Dr. Robert Erlach, DDSNPI 1982790895
Title
Part-Owner
Phone
(707) 525-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2305 Mendocino Ave Ste a
Santa Rosa, CA 95403-3157

Mailing address

2305 Mendocino Ave Ste a
Santa Rosa, CA 95403-3157
Phone (707) 525-1500

Other names 1

  • Fountaingrove Dentistry Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1427660695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 MENDOCINO AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033157",
            "telephone_number": "707-525-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 MENDOCINO AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033157",
            "telephone_number": "707-525-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERLACH ANDERSON TEMNITZER DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "ERLACH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PART-OWNER",
        "authorized_official_telephone_number": "707-525-1500",
        "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": "Fountaingrove 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 Aug 19, 2020; 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.