Organization Active NPI

Rael Bernstein D.D.S., a Professional Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Napa, CA
National Provider Identifier
1891336533
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION
Doing business as
Wow Smiles
Practice address
1303 Trancas St
Napa, CA 94558-2911
Phone
(707) 575-0600
Fax
(707) 230-5620
NPI assigned
Oct 3, 2019
Organization subpart
Yes
Parent organization
RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Cynthia J Russo, DO
Title
Director of Finance
Phone
(707) 230-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1303 Trancas St
Napa, CA 94558-2911

Mailing address

2180 Northpoint Pkwy
Santa Rosa, CA 95407-7395
Phone (707) 230-5602

Other names 1

  • Wow Smiles Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Networked

National Provider Directory

National Provider Directory
Tax ID family
Rael Bernstein DDS a Professional Corporation11 organizations share this tax ID, including this one
Part of
Rael Bernstein DDS a Professional Corporation

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1303 Trancas St
Napa, CA 94558
Phone (707) 575-0600

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1891336533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 NORTHPOINT PKWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077395",
            "telephone_number": "707-230-5602",
            "fax_number": "707-230-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582911",
            "telephone_number": "707-575-0600",
            "fax_number": "707-230-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAEL BERNSTEIN D.D.S., A PROFESSIONAL CORPORATION",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "707-230-5602",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Networked",
            "affiliation": "N",
            "address_1": "1303 Trancas St",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945582911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wow Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.