OrganizationActive
1012 Group, Inc
NPI 1730535774 · General Practice Dentistry · San Mateo, CA
1012 Group, Inc is a General Practice Dentistry organization in San Mateo, CA (NPI 1730535774).
Provider details
- NPI number
- 1730535774
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Patti Bolander, Director of Operations(650) 458-3727
- License
- 58767 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
800 S B St
Suite #200
San Mateo, CA 94401-4271
Phone: (650) 458-3727
Street-level locationGet directions
Mailing address
800 S B St
San Mateo, CA 94401-4271
Other names (DBA / former)
- Doing business as
- Bloom Dental Group
Registry dates
- Enumerated
- 2016-05-09
- Last updated
- 2016-05-09
Frequently asked questions
- What is 1012 Group, Inc's NPI number?
- 1012 Group, Inc's National Provider Identifier (NPI) is 1730535774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1012 Group, Inc?
- 1012 Group, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 1012 Group, Inc located?
- 1012 Group, Inc's practice location on file with NPPES is 800 S B St, San Mateo, CA 94401-4271.
- What is 1012 Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for 1012 Group, Inc is (650) 458-3727.
- Who is the authorized official for 1012 Group, Inc?
- The authorized official listed on 1012 Group, Inc's NPPES record is Patti Bolander, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1012 Group, Inc's NPI active?
- Yes — 1012 Group, Inc's NPI (1730535774) is active in the NPPES registry as of the last update on 2016-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.