American Canyon Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

60422 Issued in CA

Legal business name

AMERICAN CANYON ORTHODONTICS

Practice address

3419 Broadway St
Ste-H1
American Canyon, CA 94503-1261

Phone

(707) 651-9244

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Markert, RDA

Title

Office Manager

Phone

(707) 651-9244

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Nichelini, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • American Canyon, CA
  • NPI 1598015257

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1285057950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 BROADWAY ST",
            "address_2": "STE-H1",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 BROADWAY ST",
            "address_2": "STE-H1",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031261",
            "telephone_number": "707-651-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CANYON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "MARKERT",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-651-9244",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "60422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizet Aguilar
• American Canyon Fire Protection District
• American Canyon High School
• American Canyon Middle School
• American Canyon Open MRI
• Federico Ara
• Roxana Arias
• Aruna Singh DDS Inc
• Meredith Asprer-Beltran, DMD
• Wilfred Andrew Asprer Jr.

• All providers in American Canyon, CA
• Orthodontics and Dentofacial Orthopedics Dentistry in California

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