PENINSULA ORTHODONTIC GROUP, INC
NPI 1104005529
Dentist - Orthodontics and Dentofacial Orthopedics in Redwood City, CA

Active since November 01, 2007
11 BIRCH ST STE 100, REDWOOD CITY, CA 94062(650) 298-8400 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peninsula Orthodontic Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENINSULA ORTHODONTIC GROUP, INC (NPI 1104005529) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Redwood City, California and active in the NPI registry since November 2007. The organization lists James Tsau, President, as its authorized official.

NPPES Registry Identity

NPI1104005529
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePENINSULA ORTHODONTIC GROUP, INC
Location Address11 BIRCH ST STE 100Redwood City, CA 94062-1480
Mailing Address563 Leahy StRedwood City, CA 94061-3877 · (650) 260-2868
Organization SubpartNo
Authorized OfficialJames TsauPresident · (650) 260-2868
Enumeration DateNovember 1, 2007
Last NPPES UpdateFebruary 12, 2008
NPI 1104005529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 50540
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
11 BIRCH ST STE 100, Redwood City, CA 94062

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
11 BIRCH ST STE 100
REDWOOD CITY, CA 94062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Orthodontic Group, Inc's NPI number?

The NPI number for Peninsula Orthodontic Group, Inc is 1104005529. It was assigned to this organization in the NPPES registry on November 1, 2007.

Where is Peninsula Orthodontic Group, Inc located?

Peninsula Orthodontic Group, Inc is located at 11 Birch St Ste 100, Redwood City, CA 94062. The listed phone number is (650) 298-8400.

What is Peninsula Orthodontic Group, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Peninsula Orthodontic Group, Inc was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.