Organization Active NPI

Chavez and Paulovich Dental Corporation

Doing business as Gold Coast Family Dentistry

  • Dental Clinic/Center
  • Rohnert Park, CA
National Provider Identifier
1871389619
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHAVEZ AND PAULOVICH DENTAL CORPORATION
Doing business as
Gold Coast Family Dentistry
Practice address
5200 Snyder LN Ste 3
Rohnert Park, CA 94928-2931
Phone
(707) 584-9589
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Steven Paulovich, DMD
Title
Vice President
Phone
(440) 488-6732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5200 Snyder LN Ste 3
Rohnert Park, CA 94928-2931

Mailing address

5200 Snyder LN Ste 3
Rohnert Park, CA 94928-2931
Phone (707) 584-9589

Other names 1

  • Gold Coast Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5200 Snyder Ln
Ste 3
Rohnert Park, CA 94928
Phone (707) 584-9589

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1871389619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SNYDER LN STE 3",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282931",
            "telephone_number": "707-584-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SNYDER LN STE 3",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282931",
            "telephone_number": "707-584-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVEZ AND PAULOVICH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "PAULOVICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "440-488-6732",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Coast Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.