NPIMap

Organization Active NPI

Central Valley Dental Implant & Oral Surgery Institute II

  • Oral and Maxillofacial Surgery (Dentist)
  • Visalia, CA
National Provider Identifier
1154199404
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CENTRAL VALLEY DENTAL IMPLANT & ORAL SURGERY INSTITUTE II
Practice address
1116 N Chinowth St
Visalia, CA 93291-7896
Phone
(559) 732-7946
Fax
(559) 732-9621
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Dr. Spencer James Anderson, DDSNPI 1407270135
Title
Partner
Phone
(559) 732-7946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1116 N Chinowth St
Visalia, CA 93291-7896

Mailing address

PO Box 7239
Visalia, CA 93290-7239
Phone (559) 732-7946

Other practice location 1

328 N 2nd St
Porterville, CA 93257-3847
Phone (559) 854-7332

Other practice location 2

1080 N Cherry St
Tulare, CA 93274-2251
Phone (559) 685-0725

Other practice location 3

1155 W Lacey Blvd
Hanford, CA 93230-4342
Phone (559) 582-9286

National Provider Directory

National Provider Directory

Locations

1116 N Chinowth St
Visalia, CA 93291
Phone (559) 732-0725

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1154199404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7239",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907239",
            "telephone_number": "559-732-7946",
            "fax_number": "559-732-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N CHINOWTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917896",
            "telephone_number": "559-732-7946",
            "fax_number": "559-732-9621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573847",
            "country_code": "US",
            "telephone_number": "559-854-7332",
            "fax_number": "559-854-7375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 N Cherry St",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932742251",
            "country_code": "US",
            "telephone_number": "559-685-0725",
            "fax_number": "559-685-9605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1155 W Lacey Blvd",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304342",
            "country_code": "US",
            "telephone_number": "559-582-9286",
            "fax_number": "559-582-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL VALLEY DENTAL IMPLANT & ORAL SURGERY INSTITUTE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-732-7946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.