Star Dentistry, a Racelis Dental Group, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STAR DENTISTRY, A RACELIS DENTAL GROUP, INC.

Practice address

4300 San Pablo Dam Rd
El Sobrante, CA 94803-3002

Phone

(510) 758-8888

NPI assigned

Mar 8, 2014

Organization subpart

No

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

Authorized official

Name

Maria Angeles Racelis, D.M.D.

Title

Ceo

Phone

(510) 758-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394236800000",
    "number": "1497171961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033002",
            "telephone_number": "510-758-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033002",
            "telephone_number": "510-758-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DENTISTRY, A RACELIS DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A",
        "authorized_official_last_name": "RACELIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-758-8888",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameelah Vannessa Simon
• Janpen N/a Sinlee
• Natthaphat Sinlee
• Gregory Lyon Smith
• Arlaee Solorzano
• Randall R Stevenson, DDS
• Lael Stimming, LM
• David Christian Stoeckle
• Tiffany Straughter
• Marcella Renee Strickland-Ramsay

• General Practice Dentistry in El Sobrante, CA
• Providers in El Sobrante, 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 Mar 8, 2014; 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.