Organization Active NPI

Valley Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
National Provider Identifier
1205060720
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
54820 Issued in CA
Legal business name
VALLEY ORAL AND MAXILLOFACIAL SURGERY
Practice address
3604 Fair Oaks Blvd
Suite 100
Sacramento, CA 95864-7253
Phone
(916) 217-1591
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Nanlin Chiang, DMDNPI 1265422893
Title
Oral Surgeon
Phone
(916) 217-1591

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 54820 CA Primary

Addresses

Primary practice location

3604 Fair Oaks Blvd
Suite 100
Sacramento, CA 95864-7253

Mailing address

3604 Fair Oaks Blvd
Suite 100
Sacramento, CA 95864-7253

National Provider Directory

National Provider Directory

Locations

3604 Fair Oaks Blvd
Ste 100
Sacramento, CA 95864
Phone (916) 217-1591

Practitioners & affiliated clinicians

Practitioners 1

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": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1205060720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 FAIR OAKS BLVD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 FAIR OAKS BLVD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647253",
            "telephone_number": "916-217-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "NANLIN",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "916-217-1591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "54820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.