Capital Family Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

49530 Issued in CA

Legal business name

CAPITAL FAMILY DENTAL GROUP

Practice address

3000 L St Ste 205
Sacramento, CA 95816-5248

Phone

(916) 452-1884

Fax

(916) 452-1885

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Ayman Mohamed Ghobashy, DENTIST

Title

DDS

Phone

(916) 802-2079

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Eric R Crum, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Torrance, CA
  • NPI 1285825307
  NPD (past)
• Ella Tin Aye Khine Lim, D.D.S

  • Dentist
  • Vallejo, CA
  • NPI 1518245604
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1154872406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 L ST STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165248",
            "telephone_number": "916-452-1884",
            "fax_number": "916-452-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 L ST STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165248",
            "telephone_number": "916-452-1884",
            "fax_number": "916-452-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL FAMILY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "GHOBASHY",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "916-802-2079",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Capital Nephrology Medical Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.