Peninsula Pediatric Dental Practice
NPI 1639590003 · Pediatric Dentistry · San Mateo, CA
Peninsula Pediatric Dental Practice is a Pediatric Dentistry organization in San Mateo, CA (NPI 1639590003).
Provider details
- NPI number
- 1639590003
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jan Murray, Office Manager(650) 375-8300
- License
- 22673 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Registry dates
- Enumerated
- 2014-01-02
- Last updated
- 2014-01-02
Frequently asked questions
- What is Peninsula Pediatric Dental Practice's NPI number?
- Peninsula Pediatric Dental Practice's National Provider Identifier (NPI) is 1639590003, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peninsula Pediatric Dental Practice?
- Peninsula Pediatric Dental Practice is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Peninsula Pediatric Dental Practice located?
- Peninsula Pediatric Dental Practice's practice location on file with NPPES is 50 S San Mateo Dr Ste 160, San Mateo, CA 94401-3859.
- What is Peninsula Pediatric Dental Practice's phone number?
- The practice phone number listed in the NPPES registry for Peninsula Pediatric Dental Practice is (650) 375-8300.
- Who is the authorized official for Peninsula Pediatric Dental Practice?
- The authorized official listed on Peninsula Pediatric Dental Practice's NPPES record is Jan Murray, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peninsula Pediatric Dental Practice's NPI active?
- Yes — Peninsula Pediatric Dental Practice's NPI (1639590003) is active in the NPPES registry as of the last update on 2014-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.