Organization Active NPI

Jurina Smida DDS

  • Dental Clinic/Center
  • Petaluma, CA
National Provider Identifier
1942681937
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JURINA SMIDA DDS
Practice address
26 4TH St
Petaluma, CA 94952-3040
Phone
(707) 789-9151
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Soraiya Smida
Title
Office Manager
Phone
(707) 789-9151

Specialties & licenses 1

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

Addresses

Primary practice location

26 4TH St
Petaluma, CA 94952-3040

Mailing address

26 4TH St
Petaluma, CA 94952-3040
Phone (707) 789-9151

National Provider Directory

National Provider Directory

Locations

26 4th St
Petaluma, CA 94952
Phone (707) 789-9151

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1942681937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 4TH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523040",
            "telephone_number": "707-789-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 4TH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523040",
            "telephone_number": "707-789-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURINA SMIDA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SMIDA",
        "authorized_official_first_name": "SORAIYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-789-9151"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.