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SANTA ROSA PEDIATRIC DENTISTRY
NPI 1477080901
Dentist - Pediatric Dentistry in Santa Rosa, CA

Active since May 15, 2017
515 FARMERS LN, SANTA ROSA, CA 95405(714) 717-0364 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2022, Aug 30, 2020, Jun 8, 2020 and 2 more (5 updates tracked since 2017).

About Santa Rosa Pediatric Dentistry NPPES

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

SANTA ROSA PEDIATRIC DENTISTRY (NPI 1477080901) is a healthcare organization registered as a pediatric dentistry in Santa Rosa, California and active in the NPI registry since May 2017. The organization lists Amber Michelle Nierode, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1477080901
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAMBER M. NIERODE, DDS, INC.
Location Address515 FARMERS LNSanta Rosa, CA 95405-4917
Mailing Address515 Farmers LnSanta Rosa, CA 95405-4917 · (714) 717-0364
Phone(714) 717-0364
Organization SubpartNo
Authorized OfficialAmber Michelle NierodePediatric Dentist · (714) 717-0364
Enumeration DateMay 15, 2017
Last NPPES UpdateJuly 14, 20225 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1477080901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
515 FARMERS LN, Santa Rosa, CA 95405
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Other Names 1

Doing Business AsSanta Rosa Pediatric Dentistry

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 3

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

WILLETT AND RAMOS DENTAL, PC
Dentist (Pediatric Dentistry)
515 FARMERS LN
SANTA ROSA, CA 95405
Sonoma County (707) 527-8509
DR. AMBER NIERODE D.D.S.
Dentist (Pediatric Dentistry)
515 FARMERS LN
SANTA ROSA, CA 95405
Sonoma County (707) 527-8509
DR. MARY ANNE DONATO FORNI D.M.D.
Dentist (Pediatric Dentistry)
515 FARMERS LN
SANTA ROSA, CA 95405
Sonoma County (707) 527-8509

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 Amber M. Nierode, Dds, Inc.'s NPI number?

The NPI number for Amber M. Nierode, Dds, Inc. is 1477080901. It was assigned to this organization in the NPPES registry on May 15, 2017. The provider is doing business as Santa Rosa Pediatric Dentistry.

Where is Amber M. Nierode, Dds, Inc. located?

Amber M. Nierode, Dds, Inc. is located at 515 Farmers Ln, Santa Rosa, CA 95405. The listed phone number is (714) 717-0364.

What is Amber M. Nierode, Dds, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Amber M. Nierode, Dds, Inc. was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.