NPIMap

Organization Active NPI

Torres Dental Inc

  • General Practice Dentistry
  • San Leandro, CA
National Provider Identifier
1235413600
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57997 Issued in CA
Legal business name
TORRES DENTAL INC
Practice address
579 Floresta Blvd
Ste D
San Leandro, CA 94578-4106
Phone
(510) 895-8191
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Kenneth O Torres, DDSNPI 1457582355
Title
Owner
Phone
(510) 895-8191

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 57997 CA Primary

Addresses

Primary practice location

579 Floresta Blvd
Ste D
San Leandro, CA 94578-4106

Mailing address

579 Floresta Blvd
Ste D
San Leandro, CA 94578-4106
Phone (510) 895-8191

National Provider Directory

National Provider Directory

Locations

579 Floresta Blvd
Ste D
San Leandro, CA 94578
Phone (510) 895-8191

Practitioners & affiliated clinicians

Practitioners 2

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": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1235413600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FLORESTA BLVD",
            "address_2": "STE D",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945784106",
            "telephone_number": "510-895-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 FLORESTA BLVD",
            "address_2": "STE D",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945784106",
            "telephone_number": "510-895-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORRES DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-895-8191",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.