Organization Active NPI

St Thomas Dental Group Inc

  • Dentist
  • Merced, CA
National Provider Identifier
1376959072
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ST THOMAS DENTAL GROUP INC
Practice address
936 W Main St
Merced, CA 95340-4519
Phone
(209) 383-5200
Fax
(209) 383-5700
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
George N Sarikakis, DMD
Title
Owner
Phone
(209) 383-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

936 W Main St
Merced, CA 95340-4519

Mailing address

1208 Paseo Verde Dr
Merced, CA 95348-1841
Phone (209) 383-5213

National Provider Directory

National Provider Directory

Locations

936 W Main St
Merced, CA 95340
Phone (209) 383-5200

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1376959072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 PASEO VERDE DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481841",
            "telephone_number": "209-383-5213",
            "fax_number": "209-383-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404519",
            "telephone_number": "209-383-5200",
            "fax_number": "209-383-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THOMAS DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "SARIKAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-383-5200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.