Organization Active NPI

Dentists Organized for Veterans

  • Dental Clinic/Center
  • Tracy, CA
National Provider Identifier
1255899647
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTISTS ORGANIZED FOR VETERANS
Practice address
1940 N Tracy Blvd
Tracy, CA 95376-2423
Phone
(209) 237-2151
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Angela Bayat, DDS
Title
Owner
Phone
(510) 220-4360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1940 N Tracy Blvd
Tracy, CA 95376-2423

Mailing address

1852 W 11TH St
Tracy, CA 95376-3736
Phone (209) 237-2151

National Provider Directory

National Provider Directory

Locations

1852 W 11th St
Tracy, CA 95376
Phone (209) 830-7400

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1255899647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763736",
            "telephone_number": "209-237-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762423",
            "telephone_number": "209-237-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS ORGANIZED FOR VETERANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "BAYAT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-220-4360",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 5, 2019; 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.