Organization Active NPI

Scripps Family Dental Partnership

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1083373096
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SCRIPPS FAMILY DENTAL PARTNERSHIP
Practice address
103 Scripps Dr Ste 8
Sacramento, CA 95825-6316
Phone
(916) 929-1156
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Dr. Sandra Lynn Fouladi, DDSNPI 1174723449
Title
Owner Partner Dentist
Phone
(310) 889-4784

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

103 Scripps Dr Ste 8
Sacramento, CA 95825-6316

Mailing address

103 Scripps Dr Ste 8
Sacramento, CA 95825-6316
Phone (916) 929-1156

Other names 1

  • Scripps Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

103 Scripps Dr
Ste 8
Sacramento, CA 95825
Phone (916) 929-1156

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": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1083373096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SCRIPPS DR STE 8",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256316",
            "telephone_number": "916-929-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SCRIPPS DR STE 8",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256316",
            "telephone_number": "916-929-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRIPPS FAMILY DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "FOULADI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER PARTNER DENTIST",
        "authorized_official_telephone_number": "310-889-4784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scripps Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.