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Dr. Constanza Montejo-Kadera , DDS

Dentist - General Practice β€’ San Rafael, CA

Active NPI 1992846430 Individual Practitioner Female Practitioner
Practice location in NPPES

3110 Kerner Blvd
San Rafael, CA 949015411

Call 4155268559 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3110 Kerner Blvd

San Rafael, CA 949015411

Telephone 4155268559
Fax 4155268556
Organization at the Same NPPES Address or Phone
Marin Community Clinic Facility NPI 1154503399

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in San Rafael and California

47 active clinicians are listed under Dentist - General Practice with a practice address in San Rafael, CA (17,958 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in San Rafael

0% of these 47 clinicians have the CMS telehealth indicator.

0% of these 47 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 54018

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Dentist
54018 (CA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Eunkyo Cho , DDS

Dentist - General Practice

NPI 1003264870

Doctor of Dental Surgery

Audrey Combs , FNP

Nurse Practitioner - Primary Care

NPI 1952844946

Family Nurse Practitioner

Dr. Brooke Gibson , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1952184780

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Joanna Gobea , FNP

Nurse Practitioner - Family

NPI 1083389019

Family Nurse Practitioner

Cara Gutterman , NP

Nurse Practitioner - Family

NPI 1982853487

Nurse Practitioner

Casey Holden , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1356804827

Nurse Practitioner

Career & Practice History

NPI enumerated February 09, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

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NPI Administrative Meta

NPI Number: 1992846430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: April 01, 2016
Sole Proprietor: No

Other Dentist - General Practices in San Rafael

All Dentist - General Practices in San Rafael

Mailing Address

3110 Kerner Blvd

San Rafael, CA 949015411

Phone: 4155268559

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.