Axis Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

60638 Issued in CA

Legal business name

AXIS DENTAL CARE

Practice address

34665 Alvarado Niles Rd
Union City, CA 94587-4598

Phone

(510) 676-9035

NPI assigned

Oct 16, 2015

Last updated

Oct 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Prerna Kultham

Title

Dentist

Phone

(510) 676-9035

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1073984944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34665 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34665 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874598",
            "telephone_number": "510-676-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "KULTHAM",
        "authorized_official_first_name": "PRERNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-676-9035",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "60638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bhavandeep Atwal
• Kristina Heidi Austin, M.D.
• Jaclyn Ayala
• Joseph A Bachicha, M.D.
• Charina Andang Bailon, DMD
• Claribel Baisa
• Aliya Abu Bakr, M.D.

• Dental Clinic/Center in Union City, CA
• Providers in Union City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.