NPIMap

Organization Active NPI

Rael Bernstein DDS Apc

Doing business as Wow Smiles

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vallejo, CA
National Provider Identifier
1508103219
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
46245 Issued in CA
Legal business name
RAEL BERNSTEIN DDS APC
Doing business as
Wow Smiles
Practice address
1620 Valle Vista Ave
Suite 200
Vallejo, CA 94589
Phone
(707) 575-0600
NPI assigned
Jan 15, 2013
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Dr. Rael Ilan Bernstein, DDS MSNPI 1992957864
Title
President
Phone
(707) 575-0600

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 46245 CA Primary

Addresses

Primary practice location

1620 Valle Vista Ave
Suite 200
Vallejo, CA 94589

Mailing address

1620 Valle Vista Ave
Suite 200
Vallejo, CA 94589
Phone (707) 575-0600

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

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1508103219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 VALLE VISTA AVE",
            "address_2": "SUITE 200",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94589",
            "telephone_number": "707-575-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 VALLE VISTA AVE",
            "address_2": "SUITE 200",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94589",
            "telephone_number": "707-575-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAEL BERNSTEIN DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "RAEL",
        "authorized_official_middle_name": "ILAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-575-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "46245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wow Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wow Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.