Organization Active NPI

Kaur and Borrero DDS Dental Corp

Doing business as Splash Kids Dental Care

  • Dentist
  • Modesto, CA
National Provider Identifier
1013457118
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59660 Issued in CA
Legal business name
KAUR AND BORRERO DDS DENTAL CORP
Doing business as
Splash Kids Dental Care
Practice address
1801 Tully Rd Ste A1
Modesto, CA 95350-2937
Phone
(209) 284-5080
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Karmjit Kaur, DDSNPI 1972819548
Title
Dentist
Phone
(209) 284-5080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 59660 CA Primary

Addresses

Primary practice location

1801 Tully Rd Ste A1
Modesto, CA 95350-2937

Mailing address

1801 Tully Rd # Suitea1
Modesto, CA 95350-2931
Phone (209) 284-5080

Other names 1

  • Splash Kids Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1801 Tully Rd
#1
Modesto, CA 95350

1801 Tully Rd
Ste A1
Modesto, CA 95350
Phone (209) 284-5080

569 W Lowell Ave
Ste 200
Tracy, CA 95376
Phone (209) 832-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1013457118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 TULLY RD # SUITEA1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502931",
            "telephone_number": "209-284-5080",
            "fax_number": "209-438-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 TULLY RD STE A1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502937",
            "telephone_number": "209-284-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUR AND BORRERO DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2021-03-05",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "KARMJIT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-284-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Splash Kids Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.