NPIMap

Organization Active NPI

Rael Bernstein D.D.S., a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Soledad, CA
National Provider Identifier
1467017947
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION
Practice address
741 Front St
Soledad, CA 93960-3017
Phone
(707) 575-0600
Fax
(707) 230-5620
NPI assigned
May 9, 2019
Organization subpart
Yes
Parent organization
BERNSTEIN ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Cynthia J Russo
Title
Director of Finance
Phone
(707) 230-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

741 Front St
Soledad, CA 93960-3017

Mailing address

2180 Northpoint Pkwy
Santa Rosa, CA 95407-7395
Phone (707) 230-5602

Other names 1

  • Wow Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rael Bernstein DDS a Professional Corporation11 organizations share this tax ID, including this one
Part of
Rael Bernstein DDS a Professional Corporation

Other organizations with this tax ID 10

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

Locations

741 Front St
Soledad, CA 93960
Phone (707) 575-0600

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1467017947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 NORTHPOINT PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077395",
            "telephone_number": "707-230-5602",
            "fax_number": "707-230-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 FRONT ST",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939603017",
            "telephone_number": "707-575-0600",
            "fax_number": "707-230-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERNSTEIN ORTHODONTICS",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "707-230-5602"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wow Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soledad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.