Organization Active NPI

Antonio Essapour, D.M.D. Inc.

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1154487205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44870 Issued in CA
Legal business name
ANTONIO ESSAPOUR, D.M.D. INC.
Practice address
875 E Canal Dr Ste 11
Turlock, CA 95380-4542
Phone
(209) 668-1080
NPI assigned
Dec 30, 2006
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
Dr. Antonio Essapour, D.M.D.NPI 1780964528
Title
President
Phone
(209) 668-1080

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44870 CA Primary

Addresses

Primary practice location

875 E Canal Dr Ste 11
Turlock, CA 95380-4542

Mailing address

875 E Canal Dr Ste 11
Turlock, CA 95380-4542
Phone (209) 668-1080

National Provider Directory

National Provider Directory

Locations

875 E Canal Dr
Ste 11
Turlock, CA 95380
Phone (209) 668-1080

Practitioners & affiliated clinicians

Practitioners 1

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": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154487205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 E CANAL DR STE 11",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804542",
            "telephone_number": "209-668-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E CANAL DR STE 11",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804542",
            "telephone_number": "209-668-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO ESSAPOUR, D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESSAPOUR",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-668-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, 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.