Pediatric Dental Initiative of the North Coast, Inc.
NPI 1598993198 · Ambulatory Surgical Clinic/Center · Windsor, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Dental Initiative of the North Coast, Inc. is a Ambulatory Surgical Clinic/Center organization in Windsor, CA (NPI 1598993198).
Provider details
- NPI number
- 1598993198
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Tucker, Administrator/Director of Nursing(707) 838-6560
- License
- 550000658 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Pdi Surgery Center
Registry dates
- Enumerated
- 2009-06-23
- Last updated
- 2009-06-23
Frequently asked questions
- What is Pediatric Dental Initiative of the North Coast, Inc.'s NPI number?
- Pediatric Dental Initiative of the North Coast, Inc.'s National Provider Identifier (NPI) is 1598993198, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Initiative of the North Coast, Inc.?
- Pediatric Dental Initiative of the North Coast, Inc. is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Dental Initiative of the North Coast, Inc. located?
- Pediatric Dental Initiative of the North Coast, Inc.'s practice location on file with NPPES is 1380 19th Hole Dr, Windsor, CA 95492-7713.
- What is Pediatric Dental Initiative of the North Coast, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Initiative of the North Coast, Inc. is (707) 838-6560.
- Does Pediatric Dental Initiative of the North Coast, Inc. accept Medicare?
- Pediatric Dental Initiative of the North Coast, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Dental Initiative of the North Coast, Inc.?
- The authorized official listed on Pediatric Dental Initiative of the North Coast, Inc.'s NPPES record is Julie Tucker, Administrator/Director of Nursing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Initiative of the North Coast, Inc.'s NPI active?
- Yes — Pediatric Dental Initiative of the North Coast, Inc.'s NPI (1598993198) is active in the NPPES registry as of the last update on 2009-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.