NPIMap

Organization Active NPI

Speed Dental Practice Corporation

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1073881983
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42951 Issued in CA
Legal business name
SPEED DENTAL PRACTICE CORPORATION
Practice address
9381 E Stockton Blvd
Suite 120
Elk Grove, CA 95624-5068
Phone
(916) 686-4212
Fax
(916) 691-1602
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Terri Speed, DDSNPI 1316082951
Title
Dentist/Owner
Phone
(916) 686-4212

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 42951 CA Primary

Addresses

Primary practice location

9381 E Stockton Blvd
Suite 120
Elk Grove, CA 95624-5068

Mailing address

9098 Laguna Main St
Suite 4
Elk Grove, CA 95758-7449
Phone (916) 691-1600

National Provider Directory

National Provider Directory

Locations

9098 Laguna Main St
Ste 4
Elk Grove, CA 95758
Phone (916) 691-1600

Practitioners & affiliated clinicians

Practitioners 2

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": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1073881983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9098 LAGUNA MAIN ST",
            "address_2": "SUITE 4",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587449",
            "telephone_number": "916-691-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 E STOCKTON BLVD",
            "address_2": "SUITE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245068",
            "telephone_number": "916-686-4212",
            "fax_number": "916-691-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEED DENTAL PRACTICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "SPEED",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "916-686-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.