Seth Reder, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

56012 Issued in CA

Legal business name

SETH REDER, DDS, INC.

Doing business as

Capitola Kids Dentistry

Practice address

2001 40TH Ave
Suite G
Capitola, CA 95010-2536

Phone

(831) 464-5555

Fax

(831) 464-5558

NPI assigned

Mar 16, 2016

Last updated

Mar 16, 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

Andrea Reder

Title

Office Manager

Phone

(831) 464-5555

Specialties & licenses 1

Addresses

Other names 1

• Capitola Kids Dentistry Doing business as

Locations

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1780045880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 40TH AVE",
            "address_2": "SUITE G",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102536",
            "telephone_number": "831-464-5555",
            "fax_number": "831-464-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 40TH AVE",
            "address_2": "SUITE G",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102536",
            "telephone_number": "831-464-5555",
            "fax_number": "831-464-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH REDER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "REDER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-464-5555"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitola Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Schlenger Chiropractic Corporation
• Julia Schmida
• Jacqueline H. Sedgwick, M.D., M.P.H
• Jasmine Serbas, PT
• Damaris Serrato Lomeli
• Rutu Digantkumar Shah, MD
• Karuna Sharma, MD
• Jason Oliver Shepardson, DPT, PT
• Reema Shivani
• Esther Noemi Sican

• Dental Clinic/Center in Capitola, CA
• Providers in Capitola, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.