Pebble Beach Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEBBLE BEACH DENTAL

Practice address

7916 Pebble Beach Dr Ste 206
Citrus Heights, CA 95610-7790

Phone

(916) 961-2180

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Brandon Erickson, DDSNPI 1821543851

Title

Dentist

Phone

(916) 961-2180

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 3

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

• Brandon Erickson, DDS

  • Dentist
  • Freedom, CA
  • NPI 1821543851
  NPD Authorized official
• Michael Scott Atherly, D.M.D

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1962631762
  NPD (past)
• Gary L Newhouse, D.M.D

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1669594289
  NPD (past)

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1225701972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR STE 206",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-961-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR STE 206",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-961-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLE BEACH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-961-2180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pebblebeachdental.com",
            "affiliation": "N",
            "address_1": "7916 Pebble Beach Dr Ste 206",
            "city": "Citrus Heights",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956107790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reena Patel
• Pathways Recovery, LLC
• Cayley Rose Payne
• Peacemakers Love Foundation Good Cause Sacramento
• Chelsea Marie Pearse
• Kerri Lynn Pebley
• Mary Angela Pechacek
• Alaura Noel Pelaez-Rodriguez
• Breann Elizabeth Pemberton
• Arisbeth Jazmin Pena

• Dental Clinic/Center in Citrus Heights, CA
• Providers in Citrus Heights, 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 Jul 28, 2021; 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.