Organization Active NPI

Mobilemax LLC

  • General Practice Dentistry
  • Vallejo, CA
National Provider Identifier
1902602097
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOBILEMAX LLC
Practice address
1212 Solano Ave Unit B
Vallejo, CA 94590-7019
Phone
(616) 633-5734
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Eric Wendlandt
Title
Member
Phone
(616) 633-5734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1212 Solano Ave Unit B
Vallejo, CA 94590-7019

Mailing address

1212 Solano Ave Unit B
Vallejo, CA 94590-7019
Phone (616) 633-5734

Other names 1

  • MobileMax Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1212 Solano Ave
Unit B
Vallejo, CA 94590
Phone (616) 633-5734

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1902602097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 SOLANO AVE UNIT B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945907019",
            "telephone_number": "616-633-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SOLANO AVE UNIT B",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945907019",
            "telephone_number": "616-633-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEMAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "WENDLANDT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-633-5734"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MobileMax Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.