Individual provider Active NPI

Joseph T. Rawlins, D.D.S., M.S.

  • Pediatric Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1851487995
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
56958 Issued in CA
Practice address
4420 Town Center Blvd Ste 220
El Dorado Hills, CA 95762-7137
Phone
(916) 941-1122
Fax
(916) 941-1149
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30022362 OH
Pediatric Dentistry 1223P0221X 56958 CA Primary

Addresses

Primary practice location

4420 Town Center Blvd Ste 220
El Dorado Hills, CA 95762-7137

Mailing address

4420 Town Center Blvd Ste 220
El Dorado Hills, CA 95762-7137
Phone (916) 941-1122

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
56958CAMDPediatric Dentist
30022362OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
T Lyons & J Rawlins DDS Inc Pediatric Dentistry CurrentSince Jan 19, 2020 Accepting new patients

Locations

7806 Madison Ave
Ste 200
Fair Oaks, CA 95628
Phone (916) 442-7873

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1851487995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 TOWN CENTER BLVD STE 220",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627137",
            "telephone_number": "916-941-1122",
            "fax_number": "916-941-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 TOWN CENTER BLVD STE 220",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627137",
            "telephone_number": "916-941-1122",
            "fax_number": "916-941-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINS",
        "first_name": "JOSEPH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30022362",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.