Organization Active NPI

Mishel Malhotra DMD Dental Corp

  • General Practice Dentistry
  • Santa Rosa, CA
National Provider Identifier
1912690140
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MISHEL MALHOTRA DMD DENTAL CORP
Practice address
70 Stony Point Rd Ste E
Santa Rosa, CA 95401-4460
Phone
(707) 575-9200
NPI assigned
Jun 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Dr. Mishel Malhotra, DMDNPI 1649717257
Title
Owner Dentist
Phone
(707) 575-9200

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

70 Stony Point Rd Ste E
Santa Rosa, CA 95401-4460

Mailing address

70 Stony Point Rd Ste E
Santa Rosa, CA 95401-4460
Phone (707) 575-9200

Other identifiers 1

IdentifierTypeStateIssuer
104438OtherCADENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

70 Stony Point Rd
Ste E
Santa Rosa, CA 95401
Phone (707) 575-9200

Practitioners & affiliated clinicians

Practitioners 2

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": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1912690140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 STONY POINT RD STE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014460",
            "telephone_number": "707-575-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 STONY POINT RD STE E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014460",
            "telephone_number": "707-575-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHEL MALHOTRA DMD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "MISHEL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "707-575-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "104438",
            "state": "CA"
        }
    ],
    "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 Jun 1, 2023; 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.