Christina Nicole Lee Zertuche, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

60794 Issued in CA

Practice address

3340 Tully Rd Ste D3
Modesto, CA 95350

Phone

(209) 232-5846

NPI assigned

Aug 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C. N. Zertuche, Inc., a Professional Dental Corporation

  • Endodontics
  • Modesto, CA
  • NPI 1780121624
  NPD Authorized official

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1346520046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 TULLY RD STE 20 #516",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500840",
            "telephone_number": "209-232-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD STE D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-232-5846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Standiford Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953501038",
            "country_code": "US",
            "telephone_number": "209-526-3815",
            "fax_number": "209-579-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE ZERTUCHE",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60794",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esmeralda Kimberly Ledesma
• Jazmin Ledesma
• Sarai Ledesma
• Beneda Ledezma
• Laura Lynn Lee Davis, RN,PHN
• Alisa Lee
• Antoinette Lee
• Calvin M Lee, MD
• Charisma Lee
• Chia-Yuan Lee, D.O.

• Endodontics in Modesto, CA
• Providers in Modesto, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.