Organization Active NPI

Esthetic Dentistry and Implants

  • Dental Clinic/Center
  • Sacramento, CA
National Provider Identifier
1316531338
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ESTHETIC DENTISTRY AND IMPLANTS
Practice address
103 Scripps Dr Ste 2
Sacramento, CA 95825-6316
Phone
(916) 929-4135
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Bejaye Smith
Title
Office Manager
Phone
(916) 784-2129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

103 Scripps Dr Ste 2
Sacramento, CA 95825-6316

Mailing address

103 Scripps Dr Ste 2
Sacramento, CA 95825-6316
Phone (916) 929-4135

Other practice location 1

1000 River Rock Dr Ste 100
Folsom, CA 95630-2093
Phone (916) 988-0655

National Provider Directory

National Provider Directory

Locations

1000 River Rock Dr
Ste 100
Folsom, CA 95630
Phone (916) 988-0655

103 Scripps Dr
Ste 2
Sacramento, CA 95825
Phone (916) 929-4135

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": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1316531338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SCRIPPS DR STE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256316",
            "telephone_number": "916-929-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SCRIPPS DR STE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256316",
            "telephone_number": "916-929-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 River Rock Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956302093",
            "country_code": "US",
            "telephone_number": "916-988-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESTHETIC DENTISTRY AND IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BEJAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-784-2129"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 2021; 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.