Amanda Delwiche, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMANDA DELWICHE, DDS, INC

Practice address

4773 Hoen Ave
Santa Rosa, CA 95405-7862

Phone

(707) 526-6165

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Delwiche, DDSNPI 1316111081

Title

President

Phone

(415) 307-0493

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Amanda Lynn Delwiche, D.D.S

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1316111081
  Authorized official Same address or phone
• James D Hoese, DPT, CSCS

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1063555936
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1528807112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-526-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-526-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA DELWICHE, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "DELWICHE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-307-0493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Christine Alvarez, M.D.
• Marbell H. Alvarez
• Yolanda Alvarez
• Shelley Alves
• Jennifer Nevolo Alwood
• Grace Eleanor Amarali, RN
• Sabrina Aldama Amato, MPH
• Susan Chinn Amaturo, M.D.
• Amber M. Nierode, DDS, Inc. (Santa Rosa Pediatric Dentistry)
• David Amber

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, 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 May 22, 2024; 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.