Active NPI
Pajoro Valley Children'S
- Pediatric Dentistry
- Freedom, CA
National Provider Identifier
1740688464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 56958
- Legal business name
- PAJORO VALLEY CHILDREN'S
- Practice address
- 230 Green Valley Rd
Freedom, CA 95019-3136 - Phone
- (831) 722-9202
- NPI assigned
- Dec 11, 2014
- 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
- Dr. Joseph Rawlins, D.D.S.
- Title
- Doctor
- Phone
- (916) 474-1045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 56958 | CA | Primary |
Addresses
Primary practice location
230 Green Valley Rd
Freedom, CA 95019-3136
Mailing address
230 Green Valley Rd
Freedom, CA 95019-3136
Phone (831) 722-9202
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418256000000",
"number": "1740688464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 GREEN VALLEY RD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193136",
"telephone_number": "831-722-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GREEN VALLEY RD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193136",
"telephone_number": "831-722-9202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAJORO VALLEY CHILDREN'S",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-11",
"last_updated": "2014-12-11",
"status": "A",
"authorized_official_last_name": "RAWLINS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "916-474-1045",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "56958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freedom, CA
- Pacific Coast Pediatric Center Inc
- Pacific Kidney Care Corp
- Pacific Point Podiatry Inc
- Pain Medicine & Interventions a Professional Medical Corporation
- Pajaro Valley Veterinary Hospital
- Parents Center, Inc.
- Jasmin P Parra, RDH
- Pulmonary Solutions, LLC
- Rachelle'S Home Inc.
- Radiology Medical Group of Santa Cruz County Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.