Individual provider Active NPI

Janet Declet, D.M.D.

  • Public Health Dentistry
  • Tracy, CA
National Provider Identifier
1255390076
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DN15282 Issued in FL
Practice address
2805 Naglee Rd Ste 150
Tracy, CA 95304-7339
Phone
(209) 830-9100
Fax
(209) 221-0022
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X DN15282 FL Primary
General Practice Dentistry 1223G0001X 64332 CA

Addresses

Primary practice location

2805 Naglee Rd Ste 150
Tracy, CA 95304-7339

Mailing address

843 Saddleback CT
Tracy, CA 95376-8730
Phone (727) 469-5800

Other identifiers 1

IdentifierTypeStateIssuer
075434000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN15282FLMDPublic Health Dentist
64332CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1255390076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 SADDLEBACK CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953768730",
            "telephone_number": "727-469-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 NAGLEE RD STE 150",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953047339",
            "telephone_number": "209-830-9100",
            "fax_number": "209-221-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECLET",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN15282",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075434000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.