Organization Active NPI

Matthew Sandretti DDS MSD Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merced, CA
National Provider Identifier
1255102117
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MATTHEW SANDRETTI DDS MSD DENTAL CORP
Doing business as
Orthodontics Exclusively
Practice address
750 W Olive Ave Ste 102
Merced, CA 95348-2436
Phone
(209) 723-3776
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Matthew Sandrretti, DDS
Title
Owner
Phone
(916) 479-3432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

750 W Olive Ave Ste 102
Merced, CA 95348-2436

Mailing address

5101 Kenneth Ave
Fair Oaks, CA 95628-5331
Phone (916) 479-3432

Other names 1

  • Orthodontics Exclusively Doing business as

National Provider Directory

National Provider Directory

Locations

750 W Olive Ave
Ste 102
Merced, CA 95348
Phone (209) 723-0011

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1255102117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 KENNETH AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285331",
            "telephone_number": "916-479-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE STE 102",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-723-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW SANDRETTI DDS MSD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SANDRRETTI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-479-3432",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontics Exclusively",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.