American Dental Surgery Centers, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMERICAN DENTAL SURGERY CENTERS, INC.

Doing business as

Modesto Dental Surgery Center

Practice address

4016 Dale Rd
Modesto, CA 95356-9268

Phone

(209) 238-3589

NPI assigned

Sep 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Vickie A Kasprzyk, R.N.

Title

President

Phone

(209) 238-3589

Specialties & licenses 1

Addresses

Other names 1

• Modesto Dental Surgery Center Doing business as

Tax ID family

American Dental Surgery Centers Inc2 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.

• American Dental Surgery Centers, Inc.

  dba Stockton Dental Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Stockton, CA
  • NPI 1225138647
  NPD tax ID

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174622146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7123 BELTIS DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569547",
            "telephone_number": "209-238-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 DALE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569268",
            "telephone_number": "209-238-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL SURGERY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASPRZYK",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-238-3589",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modesto Dental Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Obed Muhando Ambita
• Sonia Isabel Ambriz, MS
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)
• American Eagle Trading, LLC (American Eagle Care)
• American Home Care Services Inc (Synergy Homecare of Stanislaus County)
• American Medical Response West (American Medical Response)
• American Paramed
• American Pharmacy LLC (American Pharmacy)

• Ambulatory Surgical Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• 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.