Barbara Jeanne Cretan, DDS

Key facts

NPI

1285734129

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

30780 (CA)

Practice address

637 Merced St
Newman, CA 95360-1070

Phone

(209) 862-9449

Fax

(209) 862-0274

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 19, 2012.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1285734129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 MERCED ST",
            "city": "NEWMAN",
            "state": "CA",
            "postal_code": "953601070",
            "telephone_number": "209-862-9449",
            "fax_number": "209-862-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETAN",
        "first_name": "BARBARA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Newman, CA · General Practice Dentistry in California