Portia Oblea Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PORTIA OBLEA DENTAL CORPORATION

Practice address

501 Nut Tree CT Ste B
Vacaville, CA 95687-4637

Phone

(707) 532-2197

NPI assigned

Apr 11, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Arun Ramakumar

Title

Ceo

Phone

(408) 656-4567

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1497540298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NUT TREE CT STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874637",
            "telephone_number": "707-532-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NUT TREE CT STE B",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874637",
            "telephone_number": "707-532-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTIA OBLEA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "RAMAKUMAR",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-656-4567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, 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 Apr 11, 2025; 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.