Individual provider Active NPI

Ronald S Scheinbach, DDS

  • General Practice Dentistry
  • San Mateo, CA
National Provider Identifier
1821160680
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D29449 Issued in CA
Practice address
1919 O'Farrell Street
Suite #4
San Mateo, CA 94403-1344
Phone
(650) 345-8764
Fax
(650) 345-8796
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D29449 CA Primary

Addresses

Primary practice location

1919 O'Farrell Street
Suite #4
San Mateo, CA 94403-1344

Mailing address

1919 O'Farrell Street
Suite #4
San Mateo, CA 94403-1344
Phone (650) 345-8764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D29449CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821160680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 O'FARRELL STREET",
            "address_2": "SUITE #4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031344",
            "telephone_number": "650-345-8764",
            "fax_number": "650-345-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 O'FARRELL STREET",
            "address_2": "SUITE #4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031344",
            "telephone_number": "650-345-8764",
            "fax_number": "650-345-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEINBACH",
        "first_name": "RONALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D29449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.