S. T. Banatao DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

S. T. BANATAO DDS INC.

Practice address

35124 Newark Blvd
Newark, CA 94560-1220

Phone

(510) 796-3441

Fax

(510) 796-3475

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Sofronio Tolentino Banatao, DDSNPI 1295892388

Title

Ceo

Phone

(510) 796-3441

Specialties & licenses 1

Addresses

Other names 1

• ROSEMONT FAMILY DENTAL CARE Doing business as

Locations

Practitioners 2

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

• Sofronio Tolentino Banatao, D.M.D.

  • General Practice Dentistry
  • Newark, CA
  • NPI 1295892388
  NPD Authorized official
• Leovy Arias Velasco, DDS

  • General Practice Dentistry
  • Newark, CA
  • NPI 1730270588
  NPD (past)

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1699308031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35124 NEWARK BLVD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601220",
            "telephone_number": "510-796-3441",
            "fax_number": "510-796-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35124 NEWARK BLVD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601220",
            "telephone_number": "510-796-3441",
            "fax_number": "510-796-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. T. BANATAO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "BANATAO",
        "authorized_official_first_name": "SOFRONIO",
        "authorized_official_middle_name": "TOLENTINO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-796-3441",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROSEMONT FAMILY DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Ross
• Viridiana Ruiz
• Rxnovo LLC
• Rxnovo LLC
• S Nguyen DDS, Inc
• Norla Saephan
• Laura Alejandra Sahagun
• Anna Ida Sales, D.M.D.
• Saloojas Inc.
• Alexandria Samson

• General Practice Dentistry in Newark, CA
• Providers in Newark, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.