Brock Hinton DDS, Inc

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

BROCK HINTON DDS, INC

Doing business as

Prosthodontic Dental Group

Practice address

5252 Sunrise Blvd
Suite #2
Fair Oaks, CA 95628

Phone

(916) 454-0860

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jadgev Heir

Title

Ceo/President

Phone

(518) 441-5483

Specialties & licenses 3

Addresses

Other names 1

• Prosthodontic Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheri Ann Opp, D.D.S

  • Dentist
  • Fair Oaks, CA
  • NPI 1417281031
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1295415123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TRUXEL ROAD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 SUNRISE BLVD",
            "address_2": "SUITE #2",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-454-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK HINTON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "HEIR",
        "authorized_official_first_name": "JADGEV",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "518-441-5483"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prosthodontic Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Brandt
• Amritpal Kaur Brar, FNP
• Matthew Braun
• Brian D Jenkins Chiropractic Inc
• Marianne Eliza Brick, D.V.M.
• Karen S Brockopp, LCSW
• Sarah Bronk
• Hannah Brooks, AMFT, APCC
• McKenna Brown
• Andrea Bruce, PHD

• Prosthodontics in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.