Tooth Spa Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

58867 Issued in CA

Legal business name

TOOTH SPA DENTISTRY

Practice address

831 Sterling Pkwy Ste 130
Lincoln, CA 95648-7323

Phone

(916) 209-3708

Fax

(888) 858-1377

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Irene M Hermo, DDS

Title

Owner, Dentist

Phone

(916) 209-3708

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Irene Bailon Hermo, DDS

  • General Practice Dentistry
  • Lincoln, CA
  • NPI 1881901437
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1194212134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 STERLING PKWY STE 130",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487323",
            "telephone_number": "916-209-3708",
            "fax_number": "888-858-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 STERLING PKWY STE 130",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956487323",
            "telephone_number": "916-209-3708",
            "fax_number": "888-858-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH SPA DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "HERMO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "916-209-3708",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "58867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chunwen Teng, D.O.
• The Perera Group LLC
• Tamara Theodore, M.A., O.T.R./L
• Randall V. Thomsen, MD
• TLC Medical Transportation
• Carol Anne Trussell, AU.D.
• Twelve Bridges Pharmacy, Inc.
• Stephane Asimacopoulos Tziavaras, CCC/SLP
• Valley Rehabilitation Partners
• Aaron Van Brunt, D.C.

• Dental Clinic/Center in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.