NPIMap

Organization Active NPI

Prewitt Dental Group Inc

  • Dentist
  • Sanger, CA
National Provider Identifier
1386156743
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52566 Issued in CA
Legal business name
PREWITT DENTAL GROUP INC
Practice address
1615 7TH St
Sanger, CA 93657-2801
Phone
(559) 875-3927
NPI assigned
Oct 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Dr. Timothy Edward Prewitt, DDSNPI 1043737877
Title
Director
Phone
(559) 875-3927

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52566 CA Primary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 101941 CA

Addresses

Primary practice location

1615 7TH St
Sanger, CA 93657-2801

Mailing address

1615 7TH St
Sanger, CA 93657-2801
Phone (559) 875-3927

National Provider Directory

National Provider Directory

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": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1386156743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 7TH ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572801",
            "telephone_number": "559-875-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 7TH ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572801",
            "telephone_number": "559-875-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREWITT DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "PREWITT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-875-3927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "52566",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "101941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.