NPIMap

Organization Active NPI

American River Dental

  • Dentist
  • Rancho Cordova, CA
National Provider Identifier
1194918623
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D028267 Issued in CA
Legal business name
AMERICAN RIVER DENTAL
Practice address
10350 Coloma Rd
Rancho Cordova, CA 95670-2106
Phone
(916) 362-9247
Fax
(916) 362-0153
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. Guy Edward Acheson, DDSNPI 1831209493
Title
Supreme Commander
Phone
(916) 362-9247

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X D028267 CA Primary

Addresses

Primary practice location

10350 Coloma Rd
Rancho Cordova, CA 95670-2106

Mailing address

10350 Coloma Rd
Rancho Cordova, CA 95670-2106
Phone (916) 362-9247

National Provider Directory

National Provider Directory

Locations

10350 Coloma Rd
Rancho Cordova, CA 95670
Phone (916) 362-9247

Practitioners & affiliated clinicians

Practitioners 4

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": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1194918623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 COLOMA RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702106",
            "telephone_number": "916-362-9247",
            "fax_number": "916-362-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 COLOMA RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702106",
            "telephone_number": "916-362-9247",
            "fax_number": "916-362-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN RIVER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "ACHESON",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SUPREME COMMANDER",
        "authorized_official_telephone_number": "916-362-9247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D028267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.