Orchard City Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

57968 Issued in CA

Legal business name

ORCHARD CITY DENTAL CARE

Practice address

1930 S Bascom Ave
Suite 120
Campbell, CA 95008-2364

Phone

(516) 808-5806

NPI assigned

Mar 29, 2017

Organization subpart

No

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

Authorized official

Name

Sara G Sugishita, DMD

Title

Owner

Phone

(516) 808-5806

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1144752155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S BASCOM AVE",
            "address_2": "SUITE 120",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082364",
            "telephone_number": "516-808-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BASCOM AVE",
            "address_2": "SUITE 120",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082364",
            "telephone_number": "516-808-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD CITY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "SUGISHITA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-808-5806",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Campbell, CA
• Providers in Campbell, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.