NPIMap

Organization Active NPI

Paolo a Poidmore and Brian C Crawford Dental Corporation

Doing business as Cali Kids Dental

  • Pediatric Dentistry
  • Orangevale, CA
National Provider Identifier
1659801470
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATION
Doing business as
Cali Kids Dental
Practice address
9197 Greenback LN Ste B
Orangevale, CA 95662-4792
Phone
(916) 259-9255
Fax
(916) 384-3844
NPI assigned
Jun 14, 2017
Organization subpart
Yes
Parent organization
PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Brian Crawford, DDS
Title
Owner
Phone
(916) 259-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

9197 Greenback LN Ste B
Orangevale, CA 95662-4792

Mailing address

3075 Beacon Blvd
West Sacramento, CA 95691-3462
Phone (916) 259-9255

Other names 1

  • Cali Kids Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paolo a Poidmore and Brian C Crawford Dental Corporation4 organizations share this tax ID, including this one
Part of
Paolo a Poidmore and Brian C Crawford Dental Corporation

Other organizations with this tax ID 3

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

Locations

11961 Heritage Oak Pl
Auburn, CA 95603
Phone (503) 805-6225

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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1659801470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462",
            "telephone_number": "916-259-9255",
            "fax_number": "916-384-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9197 GREENBACK LN STE B",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624792",
            "telephone_number": "916-259-9255",
            "fax_number": "916-384-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAOLO A POIDMORE AND BRIAN C CRAWFORD DENTAL CORPORATION",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-259-9255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cali Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangevale, CA

Sources for this page

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