NPIMap

Organization Active NPI

Creative Dentists, Inc

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1174776850
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44228 Issued in CA
Legal business name
CREATIVE DENTISTS, INC
Practice address
32700 Alvarado Blvd
Fremont, CA 94555-1202
Phone
(510) 477-0811
Fax
(510) 477-0541
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Paul Nguyen, DDS
Title
Ceo
Phone
(510) 477-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 44228 CA Primary

Addresses

Primary practice location

32700 Alvarado Blvd
Fremont, CA 94555-1202

Mailing address

32700 Alvarado Blvd
Fremont, CA 94555-1202
Phone (510) 477-0811

Other names 1

  • Creative Smile Dental Doing business as

National Provider Directory

National Provider Directory

Locations

32700 Alvarado Blvd
Fremont, CA 94555
Phone (510) 477-0811

Practitioners & affiliated clinicians

Practitioners 2

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1174776850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32700 ALVARADO BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551202",
            "telephone_number": "510-477-0811",
            "fax_number": "510-477-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32700 ALVARADO BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945551202",
            "telephone_number": "510-477-0811",
            "fax_number": "510-477-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-477-0811",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.