Organization Active NPI

Gateway Oaks Family Dentistry

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1306254172
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54687 Issued in CA
Legal business name
GATEWAY OAKS FAMILY DENTISTRY
Practice address
2550 W El Camino Ave
Suite 9
Sacramento, CA 95833-3900
Phone
(916) 649-0249
Fax
(916) 649-0258
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Hoang Truong, DDSNPI 1912104357
Title
Owner
Phone
(916) 649-0249

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54687 CA Primary

Addresses

Primary practice location

2550 W El Camino Ave
Suite 9
Sacramento, CA 95833-3900

Mailing address

2550 W El Camino Ave
Suite 9
Sacramento, CA 95833-3900
Phone (916) 649-0249

Other identifiers 1

IdentifierTypeStateIssuer
12054842OtherCAQH

National Provider Directory

National Provider Directory

Locations

2550 W El Camino Ave
Ste 9
Sacramento, CA 95833
Phone (916) 649-0249

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1306254172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W EL CAMINO AVE",
            "address_2": "SUITE 9",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333900",
            "telephone_number": "916-649-0249",
            "fax_number": "916-649-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W EL CAMINO AVE",
            "address_2": "SUITE 9",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333900",
            "telephone_number": "916-649-0249",
            "fax_number": "916-649-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY OAKS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "HOANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-649-0249",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12054842",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.