A Vallarine DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

A VALLARINE DDS INC

Practice address

1729 N Olive Ave
Ste 15
Turlock, CA 95382-2501

Phone

(209) 669-8120

Fax

(209) 669-8123

NPI assigned

Aug 26, 2022

Organization subpart

No

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

Authorized official

Name

Alan J Vallarine, DDS

Title

President

Phone

(209) 669-8120

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1306565882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 N OLIVE AVE",
            "address_2": "STE 15",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822501",
            "telephone_number": "209-669-8120",
            "fax_number": "209-669-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 N OLIVE AVE",
            "address_2": "STE 15",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822501",
            "telephone_number": "209-669-8120",
            "fax_number": "209-669-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A VALLARINE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "VALLARINE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-669-8120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.