Individual provider Active NPI

Rodica T. Popovici, DDS

  • General Practice Dentistry
  • El Sobrante, CA
National Provider Identifier
1619992492
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43846 Issued in CA
Practice address
4450 San Pablo Dam Rd
Suite D
El Sobrante, CA 94803-3053
Phone
(510) 222-1922
Fax
(510) 222-2446
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43846 CA Primary

Addresses

Primary practice location

4450 San Pablo Dam Rd
Suite D
El Sobrante, CA 94803-3053

Mailing address

4450 San Pablo Dam Rd
Suite D
El Sobrante, CA 94803-3053
Phone (510) 222-1922

Other identifiers 2

IdentifierTypeStateIssuer
7459174OtherAETNA INSURANCE CO.
813885OtherUNITED CONCORDIA INSURANC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43846CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1619992492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 SAN PABLO DAM RD",
            "address_2": "SUITE D",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033053",
            "telephone_number": "510-222-1922",
            "fax_number": "510-222-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 SAN PABLO DAM RD",
            "address_2": "SUITE D",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033053",
            "telephone_number": "510-222-1922",
            "fax_number": "510-222-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVICI",
        "first_name": "RODICA",
        "middle_name": "T.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE CO.",
            "identifier": "7459174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "813885",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Sobrante, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.