Organization Active NPI

Good Smiles LLC

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1790658219
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOOD SMILES LLC
Practice address
801 Woodside Rd Ste 3
Redwood City, CA 94061-3751
Phone
(630) 456-3832
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Sandra M Certeza
Title
Dental Hygienist
Phone
(630) 456-3832

Specialties & licenses 1

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

Addresses

Primary practice location

801 Woodside Rd Ste 3
Redwood City, CA 94061-3751

Mailing address

801 Woodside Rd Ste 3
Redwood City, CA 94061-3751
Phone (630) 456-3832

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1790658219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WOODSIDE RD STE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613751",
            "telephone_number": "630-456-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WOODSIDE RD STE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613751",
            "telephone_number": "630-456-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "CERTEZA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "630-456-3832"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.