Organization Active NPI

Demaray Dental Corporation

  • General Practice Dentistry
  • El Dorado Hills, CA
National Provider Identifier
1255359196
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
025878 Issued in CA
Legal business name
DEMARAY DENTAL CORPORATION
Practice address
4355 Town Center Blvd Ste 211
El Dorado Hills, CA 95762-7115
Phone
(916) 939-6777
Fax
(916) 939-5077
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Daniel Duane Demaray, DDS
Title
President
Phone
(916) 939-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 025878 CA Primary

Addresses

Primary practice location

4355 Town Center Blvd Ste 211
El Dorado Hills, CA 95762-7115

Mailing address

4355 Town Center Blvd Ste 211
El Dorado Hills, CA 95762-7115
Phone (916) 939-6777

Other names 1

  • Town Center Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1255359196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 TOWN CENTER BLVD STE 211",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627115",
            "telephone_number": "916-939-6777",
            "fax_number": "916-939-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 TOWN CENTER BLVD STE 211",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627115",
            "telephone_number": "916-939-6777",
            "fax_number": "916-939-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMARAY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "DEMARAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-939-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "025878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.