NPIMap

Organization Active NPI

Redwood Shores Dental Care

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1982126488
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REDWOOD SHORES DENTAL CARE
Practice address
278 Redwood Shores Parkway
Redwood City, CA 94065
Phone
(650) 654-6545
Fax
(650) 654-6564
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Dr. Rocky Dhaliwal, D.M.D.NPI 1508918400
Title
Owner
Phone
(650) 654-6545

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

278 Redwood Shores Parkway
Redwood City, CA 94065

Mailing address

278 Redwood Shores Parkway
Redwood City, CA 94065
Phone (650) 654-6545

National Provider Directory

National Provider Directory

Locations

278 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 654-6545

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1982126488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 REDWOOD SHORES PARKWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94065",
            "telephone_number": "650-654-6545",
            "fax_number": "650-654-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 REDWOOD SHORES PARKWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94065",
            "telephone_number": "650-654-6545",
            "fax_number": "650-654-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD SHORES DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-654-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.