NPIMap

Organization Active NPI

Turlock Dental Care

  • Dentist
  • Turlock, CA
National Provider Identifier
1174942007
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31326 Issued in CA
Legal business name
TURLOCK DENTAL CARE
Practice address
990 Delbon Ave
Turlock, CA 95382-2019
Phone
(209) 667-7889
Fax
(209) 667-4712
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Dr. Robert A McCulla, DDSNPI 1184714545
Title
Owner
Phone
(209) 667-7889

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 31326 CA Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

990 Delbon Ave
Turlock, CA 95382-2019

Mailing address

990 Delbon Ave
Turlock, CA 95382-2019
Phone (209) 667-7889

National Provider Directory

National Provider Directory

Locations

990 Delbon Ave
Turlock, CA 95382
Phone (209) 667-7889

Practitioners & affiliated clinicians

Practitioners 3

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": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1174942007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822019",
            "telephone_number": "209-667-7889",
            "fax_number": "209-667-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822019",
            "telephone_number": "209-667-7889",
            "fax_number": "209-667-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURLOCK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "MCCULLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-667-7889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31326",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 8, 2014; 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.