Individual provider Active NPI

Ana Claudia Lincalel Helmbold, DDS

  • Dentist
  • Modesto, CA
National Provider Identifier
1285977504
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62265 Issued in CA
Practice address
803 Coffee Rd
Suite 8
Modesto, CA 95355-4227
Phone
(209) 521-5486
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62265 CA Primary

Addresses

Primary practice location

803 Coffee Rd
Suite 8
Modesto, CA 95355-4227

Mailing address

803 Coffee Rd
Suite 8
Modesto, CA 95355-4227
Phone (209) 521-5486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530000207 CA Practitioner - Dentist 2961702501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1285977504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 COFFEE RD",
            "address_2": "SUITE 8",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554227",
            "telephone_number": "209-521-5486",
            "fax_number": "209-521-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 COFFEE RD",
            "address_2": "SUITE 8",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554227",
            "telephone_number": "209-521-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMBOLD",
        "first_name": "ANA",
        "middle_name": "CLAUDIA LINCALEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.