NPIMap

Organization Active NPI

Community Dental Services

Doing business as SmileCare Dental Group

  • Dentist
  • San Leandro, CA
National Provider Identifier
1114099801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
COMMUNITY DENTAL SERVICES
Doing business as
SmileCare Dental Group
Practice address
15301 Washington Ave
San Leandro, CA 94579-1811
Phone
(510) 351-6820
Fax
(510) 351-3971
NPI assigned
Nov 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elaine Salcido
Title
Contract Supervisor
Phone
(714) 708-5308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

15301 Washington Ave
San Leandro, CA 94579-1811

Mailing address

2 Macarthur PL
Suite 700
Santa Ana, CA 92707-5924
Phone (714) 708-5308

Other names 1

  • SmileCare Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Dental Service59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114099801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MACARTHUR PL",
            "address_2": "SUITE 700",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927075924",
            "telephone_number": "714-708-5308",
            "fax_number": "714-708-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 WASHINGTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945791811",
            "telephone_number": "510-351-6820",
            "fax_number": "510-351-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALCIDO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CONTRACT SUPERVISOR",
        "authorized_official_telephone_number": "714-708-5308",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileCare Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.