Tooth Fairies of California

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

TOOTH FAIRIES OF CALIFORNIA

Practice address

7915 Laguna Blvd Ste 105
Elk Grove, CA 95758-7945

Phone

(916) 502-7252

NPI assigned

Oct 31, 2022

Organization subpart

No

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

Authorized official

Name

Mira YangNPI 1083234363

Title

Director of Operations

Phone

(916) 502-7252

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mira Yang, RDHAP

  • Dental Hygienist
  • Elk Grove, CA
  • NPI 1083234363
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1093422040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10373 GILLIAM DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573512",
            "telephone_number": "916-502-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 LAGUNA BLVD STE 105",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587945",
            "telephone_number": "916-502-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH FAIRIES OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "916-502-7252"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saad Tohid
• Miramar Tolon
• Candice Tomlin
• Richard Ngoc Tong
• Azadeh Toofaninejad, D.O.
• Top Care Rehab Inc
• Maricela Baez Tornatore
• Elaine Bocalbos Torneros, LVN
• Sherly Torrentes
• Brianna Torres Garcia

• Public Health or Welfare Agency in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.