NPIMap

Organization Active NPI

Noura Elloway RDH Randal Elloway DDS Corp

  • General Practice Dentistry
  • Red Bluff, CA
National Provider Identifier
1790400679
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NOURA ELLOWAY RDH RANDAL ELLOWAY DDS CORP
Doing business as
Dental Sleep Solutions Group
Practice address
2426 S Main St
Red Bluff, CA 96080-4337
Phone
(530) 727-6080
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Noura Elloway
Title
Ceo
Phone
(530) 727-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2426 S Main St
Red Bluff, CA 96080-4337

Mailing address

2426 S Main St
Red Bluff, CA 96080-4337

Other names 1

  • Dental Sleep Solutions Group Doing business as

National Provider Directory

National Provider Directory

Locations

2426 S Main St
Red Bluff, CA 96080
Phone (530) 527-6777

Practitioners & affiliated clinicians

Practitioners 4

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": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1790400679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 S MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804337",
            "telephone_number": "530-727-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURA ELLOWAY RDH RANDAL ELLOWAY DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "ELLOWAY",
        "authorized_official_first_name": "NOURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-727-6080"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Sleep Solutions Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Sleep Solutions Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.