Organization Active NPI

Kremer Dental Care Glenbrook

  • General Practice Dentistry
  • Chico, CA
National Provider Identifier
1255156063
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KREMER DENTAL CARE GLENBROOK
Practice address
3 Glenbrook CT
Chico, CA 95973-5402
Phone
(530) 892-1234
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Mrs. Amy Paundlay
Title
VP of HR
Phone
(203) 400-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3 Glenbrook CT
Chico, CA 95973-5402

Mailing address

3 Glenbrook CT
Chico, CA 95973-5402
Phone (530) 892-1234

National Provider Directory

National Provider Directory

Locations

3 Glenbrook Ct
Chico, CA 95973
Phone (530) 892-1234

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": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1255156063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GLENBROOK CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959735402",
            "telephone_number": "530-892-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GLENBROOK CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959735402",
            "telephone_number": "530-892-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREMER DENTAL CARE GLENBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "PAUNDLAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VP OF HR",
        "authorized_official_telephone_number": "203-400-9999",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.