IndividualActive
Jacqueline Payne, DDS
NPI 1154932150 · Orthodontics and Dentofacial Orthopedics Dentistry · Santa Rosa, CA
Provider details
- NPI number
- 1154932150
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 103919 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1820 Sonoma Ave Ste 36
Santa Rosa, CA 95405-6617
Phone: (707) 546-5234
Street-level locationGet directions
Mailing address
1820 Sonoma Ave Ste 36
Santa Rosa, CA 95405-6617
Registry dates
- Enumerated
- 2020-08-12
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.