Active NPI
Community Dental Services
Doing business as SmileCare Dental Group
- Dentist
- Fremont, CA
National Provider Identifier
1386716082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- COMMUNITY DENTAL SERVICES
- Doing business as
- SmileCare Dental Group
- Practice address
- 36416 Fremont Blvd
Fremont, CA 94536-7436 - Phone
- (510) 739-3889
- Fax
- (510) 739-2373
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 14, 2011
- Organization subpart
- Yes
- Parent organization
- COMMUNITY DENTAL SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elaine Salcido
- Title
- Contract Supervisor
- Phone
- (714) 708-5308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
36416 Fremont Blvd
Fremont, CA 94536-7436
Mailing address
2 Macarthur PL
Suite 700
Santa Ana, CA 92707-5924
Phone (714) 708-5308
Other names 1
- SmileCare Dental Group
National Provider Directory
National Provider Directory- Tax ID family
- Community Dental Services
- Part of
- Community Dental Services
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
36416 Fremont Blvd
Fremont, CA 94536
Phone (510) 739-3889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310601600000",
"number": "1386716082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MACARTHUR PL",
"address_2": "SUITE 700",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927075924",
"telephone_number": "714-708-5308",
"fax_number": "714-708-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36416 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945367436",
"telephone_number": "510-739-3889",
"fax_number": "510-739-2373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY DENTAL SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY DENTAL SERVICES",
"enumeration_date": "2006-11-15",
"last_updated": "2011-07-14",
"status": "A",
"authorized_official_last_name": "SALCIDO",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "CONTRACT SUPERVISOR",
"authorized_official_telephone_number": "714-708-5308",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SmileCare Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fremont, CA
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- Rosemarie Angelica Compton
- Ana Monalisa Conceicao Rodrigues
- Britta Gabrielle Conlon, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.