NPIMap

Organization Active NPI

Rina Campbell DMD Inc

Doing business as Norcal Endodontics Fremont

  • Endodontics
  • Fremont, CA
National Provider Identifier
1619564606
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
RINA CAMPBELL DMD INC
Doing business as
Norcal Endodontics Fremont
Norcal Endodotics Fremont
Practice address
2147 Mowry Ave, Suite A5
Fremont, CA 94538
Phone
(510) 882-7341
Fax
(510) 675-7466
NPI assigned
Dec 24, 2020
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
RINA CAMPBELL DMD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Dr. Rina Campbell, DMDNPI 1083894877
Title
President
Phone
(501) 882-7341

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2147 Mowry Ave, Suite A5
Fremont, CA 94538

Mailing address

4580 Meyer Park Circle
Fremont, CA 94536
Phone (510) 520-6326

Other names 2

  • Norcal Endodontics Fremont Doing business as
  • Norcal Endodotics Fremont Doing business as

National Provider Directory

National Provider Directory
Part of
Rina Campbell DMD Inc

Locations

2147 Mowry Ave
Ste A5
Fremont, CA 94538
Phone (510) 794-7973

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1619564606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 MEYER PARK CIRCLE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "510-520-6326",
            "fax_number": "510-675-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 MOWRY AVE, SUITE A5",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-882-7341",
            "fax_number": "510-675-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINA CAMPBELL DMD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RINA CAMPBELL DMD INC",
        "enumeration_date": "2020-12-24",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "RINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-882-7341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norcal Endodontics Fremont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norcal Endodontics Fremont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norcal Endodotics Fremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.