Individual provider Active NPI

Ralph Peter Vandersloot, DDS, MS

  • Periodontics
  • Pleasanton, CA
National Provider Identifier
1952304602
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
CDL 22301 Issued in CA
Practice address
5700 Stoneridge Mall Rd
Ste 290
Pleasanton, CA 94588-2847
Phone
(925) 463-1450
Fax
(925) 463-0838
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X CDL 22301 CA Primary

Addresses

Primary practice location

5700 Stoneridge Mall Rd
Ste 290
Pleasanton, CA 94588-2847

Mailing address

5700 Stoneridge Mall Rd
Ste 290
Pleasanton, CA 94588-2847
Phone (925) 463-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CDL 22301CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1952304602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD",
            "address_2": "STE 290",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882847",
            "telephone_number": "925-463-1450",
            "fax_number": "925-463-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD",
            "address_2": "STE 290",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882847",
            "telephone_number": "925-463-1450",
            "fax_number": "925-463-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSLOOT",
        "first_name": "RALPH",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "CDL 22301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.