NPIMap

Organization Active NPI

Alhambra Dental Plaza

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1104927821
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24009 Issued in CA
Legal business name
ALHAMBRA DENTAL PLAZA
Practice address
1675 Alhambra Blvd
Suite F
Sacramento, CA 95816
Phone
(916) 455-3247
Fax
(916) 455-0439
NPI assigned
Sep 26, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
David B Fair, DDSNPI 1891890307
Title
Owner
Phone
(916) 455-3247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24009 CA Primary

Addresses

Primary practice location

1675 Alhambra Blvd
Suite F
Sacramento, CA 95816

Mailing address

1675 Alhambra Blvd
Suite F
Sacramento, CA 95816
Phone (916) 455-3247

National Provider Directory

National Provider Directory

Locations

1675 Alhambra Blvd
Ste F
Sacramento, CA 95816
Phone (916) 455-3247

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1104927821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 ALHAMBRA BLVD",
            "address_2": "SUITE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-455-3247",
            "fax_number": "916-455-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 ALHAMBRA BLVD",
            "address_2": "SUITE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-455-3247",
            "fax_number": "916-455-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALHAMBRA DENTAL PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-455-3247",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 13, 2008; 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.