Sonrisas Dental Health, Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

SONRISAS DENTAL HEALTH, INC

Practice address

1740 Marco Polo Way
Suite 4
San Mateo, CA 94010

Phone

(650) 727-3480

Fax

(650) 727-3519

NPI assigned

Sep 9, 2024

Organization subpart

Yes

Parent organization

SONRISAS DENTAL HEALTH, INCAs reported in NPPES

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

Authorized official

Name

Tracey Carrillo Fecher

Title

Ceo

Phone

(650) 727-3484

Specialties & licenses 1

Addresses

Other names 1

• Sonrisas Dental Health Doing business as

Tax ID family

Sonrisas Dental Health Inc3 organizations share this tax ID, including this one

Part of

Sonrisas Dental Health Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sonrisas Dental Health, Inc

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1447477591
  NPD tax ID
• Sonrisas Dental Health, Inc.

  • General Practice Dentistry
  • San Mateo, CA
  • NPI 1205215795
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Sonrisas Dental Health, Inc

  • General Practice Dentistry
  • Half Moon Bay, CA
  • NPI 1447477591
  NPPES parent name

Practitioners 1

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

• Irma Ochoa

  • Community Health Worker
  • Burlingame, CA
  • NPI 1609689967
  NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1073349932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013710",
            "telephone_number": "650-727-3480",
            "fax_number": "650-727-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MARCO POLO WAY",
            "address_2": "SUITE 4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94010",
            "telephone_number": "650-727-3480",
            "fax_number": "650-727-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISAS DENTAL HEALTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SONRISAS DENTAL HEALTH, INC",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "FECHER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "CARRILLO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-727-3484"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonrisas Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eunice Kim Song, PSY.D.
• Ming Ju Song, L.AC.
• Myly Song
• Sonitus Medical Inc.
• Michelle Sonnenschein, MFT
• Sonrisas Dental Health, Inc.
• Melissa Sonu
• Soong Chapman and Beymer
• Patricia Soong, MD
• Paul K. Sorbo

• Public Health Dentistry in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.