Joseph Rawlins DDS Dental Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

56958 Issued in CA

Legal business name

JOSEPH RAWLINS DDS DENTAL CORP

Practice address

569 W Lowell Ave
200
Tracy, CA 95376-3081

Phone

(209) 832-5800

Fax

(209) 832-5885

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph T Rawlins, DDS, MS

Title

President

Phone

(209) 832-5800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1700337540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 W LOWELL AVE",
            "address_2": "200",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763081",
            "telephone_number": "209-832-5800",
            "fax_number": "209-832-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 W LOWELL AVE",
            "address_2": "200",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763081",
            "telephone_number": "209-832-5800",
            "fax_number": "209-832-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH RAWLINS DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "RAWLINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-832-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Tracy, CA
• Providers in Tracy, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.