Organization Active NPI

Robert Alavi D D S Inc

  • General Practice Dentistry
  • Santa Rosa, CA
National Provider Identifier
1679755771
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47178 Issued in CA
Legal business name
ROBERT ALAVI D D S INC
Practice address
1420 Guerneville Rd
Suite 2
Santa Rosa, CA 95403-7233
Phone
(707) 578-3776
Fax
(707) 578-1060
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Dr. Robert Alavi, D.D.S.NPI 1982960993
Title
President/Dentist
Phone
(707) 578-3776

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47178 CA Primary

Addresses

Primary practice location

1420 Guerneville Rd
Suite 2
Santa Rosa, CA 95403-7233

Mailing address

1420 Guerneville Rd
Suite 2
Santa Rosa, CA 95403-7233
Phone (707) 578-3776

Other names 1

  • Bright Care Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

1420 Guerneville Rd
Ste 2
Santa Rosa, CA 95403
Phone (707) 578-3776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1679755771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 GUERNEVILLE RD",
            "address_2": "SUITE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037233",
            "telephone_number": "707-578-3776",
            "fax_number": "707-578-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 GUERNEVILLE RD",
            "address_2": "SUITE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037233",
            "telephone_number": "707-578-3776",
            "fax_number": "707-578-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ALAVI D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "ALAVI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "707-578-3776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Care Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.