NPIMap

Organization Active NPI

Rassiwala Dental Corporation

  • General Practice Dentistry
  • Stockton, CA
National Provider Identifier
1487130191
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54852 Issued in CA
Legal business name
RASSIWALA DENTAL CORPORATION
Practice address
2043 E Fremont St Ste 8
Stockton, CA 95205
Phone
(209) 466-5000
Fax
(209) 466-4010
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Farhana RassiwalaNPI 1457533556
Title
DDS/Owner
Phone
(925) 872-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 54852 CA Primary

Addresses

Primary practice location

2043 E Fremont St Ste 8
Stockton, CA 95205

Mailing address

2043 E Fremont St Ste 8
Stockton, CA 95205-5000
Phone (209) 466-5000

National Provider Directory

National Provider Directory

Locations

2043 E Fremont St
Ste 8
Stockton, CA 95205
Phone (209) 466-5000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1487130191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 E FREMONT ST STE 8",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952055000",
            "telephone_number": "209-466-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 E FREMONT ST STE 8",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95205",
            "telephone_number": "209-466-5000",
            "fax_number": "209-466-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASSIWALA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "RASSIWALA",
        "authorized_official_first_name": "FARHANA",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "925-872-0050"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.