Columbia-Arora

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA47476 Issued in CA

Legal business name

COLUMBIA-ARORA

Practice address

599 Tomales Rd
Petaluma, CA 94952-5002

Phone

(707) 765-7234

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Floyd Wilson Jr., RDA

Title

Rda Dental Asst

Phone

(707) 765-7234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568549541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 FRONT ST",
            "address_2": "#207",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369604",
            "telephone_number": "707-765-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 TOMALES RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949525002",
            "telephone_number": "707-765-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA-ARORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FLOYD",
        "authorized_official_title_or_position": "RDA DENTAL ASST",
        "authorized_official_telephone_number": "707-765-7234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA47476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denicia Lania Coleman
• Sharmaine Marie Collier, RN
• Alyssa Collins, BCBA
• Erin Lee Collins, LMFT
• Karen Collins, LMFT
• Nancy D Colvin, LCSW
• Committee on the Shelterless
• Community Support Network
• John Conant
• Patrick Clifton Connor Jr

• Dental Assistant in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.