Active NPI
Zaul & Smith Pediatric Dentistry
- Pediatric Dentistry
- Burlingame, CA
National Provider Identifier
1679042360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- ZAUL & SMITH PEDIATRIC DENTISTRY
- Doing business as
- Burlingame Pediatric Dentistry
- Practice address
- 1720 El Camino Real Ste 101
Burlingame, CA 94010-3211 - Phone
- (650) 906-5468
- NPI assigned
- Nov 26, 2018
- 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
- Cicely Smith, DDS
- Title
- General Partner
- Phone
- (650) 906-5468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
1720 El Camino Real Ste 101
Burlingame, CA 94010-3211
Mailing address
120 S El Camino Real Apt 308
Millbrae, CA 94030-3136
Phone (650) 906-5468
Other names 1
- Burlingame Pediatric Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543190400000",
"number": "1679042360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S EL CAMINO REAL APT 308",
"city": "MILLBRAE",
"state": "CA",
"postal_code": "940303136",
"telephone_number": "650-906-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 EL CAMINO REAL STE 101",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103211",
"telephone_number": "650-906-5468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZAUL & SMITH PEDIATRIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CICELY",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "650-906-5468",
"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": "Burlingame Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.