Courtyard Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38428 Issued in CA

Legal business name

COURTYARD DENTAL CARE

Practice address

11990 Heritage Oak PL
Suite 12
Auburn, CA 95603

Phone

(530) 823-2568

Fax

(530) 823-7310

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Cindy Emmerson

Title

Practice Administrator

Phone

(530) 823-2568

Specialties & licenses 1

Addresses

Tax ID family

Courtyard Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Courtyard Dental Care

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1427109230
  NPD tax ID

Locations

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1124573753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 HERITAGE OAK PL",
            "address_2": "SUITE 12",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032455",
            "telephone_number": "530-823-2568",
            "fax_number": "530-823-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 HERITAGE OAK PL",
            "address_2": "SUITE 12",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-823-2568",
            "fax_number": "530-823-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTYARD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "EMMERSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "530-823-2568"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Placer
• County of Placer
• County of Placer
• County of Placer
• County of Placer
• Christian E Couto, RADT
• Kelly Couture, LMFT
• Amanda Couvrette
• Covenant Health Medical Group
• Celina Deanna Covert-Lovato

• General Practice Dentistry in Auburn, CA
• Providers in Auburn, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.