Individual provider Active NPI

Ulf Temnitzer, D.D.S

  • Prosthodontics
  • Santa Rosa, CA
National Provider Identifier
1881027969
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
61433 Issued in CA
Practice address
2305 Mendocino Ave Ste a
Santa Rosa, CA 95403-3157
Phone
(707) 525-1500
Fax
(707) 525-0315
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 61433 CA Primary

Addresses

Primary practice location

2305 Mendocino Ave Ste a
Santa Rosa, CA 95403-3157

Mailing address

2305 Mendocino Ave Ste a
Santa Rosa, CA 95403-3157
Phone (707) 525-1500

Other practice location 1

2305 Mendocino Ave Ste A
Santa Rosa, CA 95403-3157
Phone (707) 525-1500

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ulf Temnitzer, DDS, Inc. Current Accepting new patients
Erlach Anderson Temnitzer Dental Partnership Current Accepting new patients

Locations

2305 Mendocino Ave
Ste A
Santa Rosa, CA 95403
Phone (707) 525-1500

Organizations & group practices 2

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1881027969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 MENDOCINO AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033157",
            "telephone_number": "707-525-1500",
            "fax_number": "707-525-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 MENDOCINO AVE STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033157",
            "telephone_number": "707-525-1500",
            "fax_number": "707-525-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Mendocino Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954033157",
            "country_code": "US",
            "telephone_number": "707-525-1500",
            "fax_number": "707-525-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMNITZER",
        "first_name": "ULF",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "61433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.