Organization Active NPI

Rashmi Beedubail DDS a Professional Dental Corporation

  • Dental Clinic/Center
  • Modesto, CA
National Provider Identifier
1891395653
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RASHMI BEEDUBAIL DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
901 N Carpenter Rd Ste 2
Modesto, CA 95351-1199
Phone
(209) 524-8900
Fax
(209) 300-7651
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Rashmi BeedubailNPI 1629115423
Title
DDS
Phone
(209) 524-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

901 N Carpenter Rd Ste 2
Modesto, CA 95351-1199

Mailing address

901 N Carpenter Rd Ste 2
Modesto, CA 95351-1199
Phone (209) 524-8900

National Provider Directory

National Provider Directory

Locations

901 N Carpenter Rd
Ste 2
Modesto, CA 95351
Phone (209) 524-8900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1891395653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CARPENTER RD STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511199",
            "telephone_number": "209-524-8900",
            "fax_number": "209-300-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CARPENTER RD STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953511199",
            "telephone_number": "209-524-8900",
            "fax_number": "209-300-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASHMI BEEDUBAIL DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "BEEDUBAIL",
        "authorized_official_first_name": "RASHMI",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "209-524-8900"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.