NPIMap

Organization Active NPI

Arlyn Heidi R.Donesa D.D.S.,Inc

  • Dentist
  • Stockton, CA
National Provider Identifier
1255734653
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50239 Issued in CA
Legal business name
ARLYN HEIDI R.DONESA D.D.S.,INC
Practice address
1130 N El Dorado St Ste 1-a
Stockton, CA 95202-1332
Phone
(209) 939-1100
Fax
(209) 939-1300
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Arlyn Donesa
Title
Owner/Dentist
Phone
(209) 939-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50239 CA Primary

Addresses

Primary practice location

1130 N El Dorado St Ste 1-a
Stockton, CA 95202-1332

Mailing address

1130 N El Dorado St Ste 1-a
Stockton, CA 95202-1332
Phone (209) 939-1100

National Provider Directory

National Provider Directory

Locations

1130 N El Dorado St
Ste 1A
Stockton, CA 95202
Phone (209) 939-1100

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1255734653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N EL DORADO ST STE 1-A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021332",
            "telephone_number": "209-939-1100",
            "fax_number": "209-939-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N EL DORADO ST STE 1-A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021332",
            "telephone_number": "209-939-1100",
            "fax_number": "209-939-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLYN HEIDI R.DONESA D.D.S.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "DONESA",
        "authorized_official_first_name": "ARLYN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "209-939-1100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.