Active NPI
Studio of Aesthetic Dentistry
- General Practice Dentistry
- Saint Helena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51677
- Legal business name
- STUDIO OF AESTHETIC DENTISTRY
- Practice address
- 1510 Railroad Ave
Saint Helena, CA 94574-1106 - Phone
- (707) 963-2321
- NPI assigned
- Jan 26, 2015
- Last updated
- Jan 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pauline Demetrakopulos, DDS
- Title
- Sole Proprietor
- Phone
- (707) 963-2321
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51677 | CA | Primary |
| Periodontics | 1223P0300X | 34260 | CA |
Addresses
Primary practice location
1510 Railroad Ave
Saint Helena, CA 94574-1106
Mailing address
1510 Railroad Ave
Saint Helena, CA 94574-1106
Phone (707) 963-2321
National Provider Directory
National Provider Directory- Tax ID family
- Saint Helena Dental Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Saint Helena, CA
- NPI 1376933770
Locations
1510 Railroad Ave
Saint Helena, CA 94574
Phone (707) 963-2321
Practitioners & affiliated clinicians
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.
-
- Dentist
- Saint Helena, CA
- NPI 1336344332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1669862926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 RAILROAD AVE",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945741106",
"telephone_number": "707-963-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 RAILROAD AVE",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945741106",
"telephone_number": "707-963-2321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUDIO OF AESTHETIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "DEMETRAKOPULOS",
"authorized_official_first_name": "PAULINE",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "707-963-2321",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51677",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "34260",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Helena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.