NPIMap

Organization Active NPI

Brenda Judith Salazar DDS., Inc.

Doing business as Smiles and Teeth Dental Group of Brenda Judith Salazar

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1396191508
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57014 Issued in CA
Legal business name
BRENDA JUDITH SALAZAR DDS., INC.
Doing business as
Smiles and Teeth Dental Group of Brenda Judith Salazar
Practice address
1658 N Blackstone Ave
Fresno, CA 93703-2908
Phone
(559) 673-9000
NPI assigned
May 5, 2016
Last updated
May 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Brenda Judith Salazar, DDSNPI 1700044666
Title
President
Phone
(559) 673-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 57014 CA Primary

Addresses

Primary practice location

1658 N Blackstone Ave
Fresno, CA 93703-2908

Mailing address

1658 N Blackstone Ave
Fresno, CA 93703-2908
Phone (559) 673-9000

Other names 1

  • Smiles and Teeth Dental Group of Brenda Judith Salazar Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brenda Judith Salazar DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1658 N Blackstone Ave
Fresno, CA 93703
Phone (559) 444-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1396191508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032908",
            "telephone_number": "559-673-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 N BLACKSTONE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032908",
            "telephone_number": "559-673-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA JUDITH SALAZAR DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-673-9000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles and Teeth Dental Group of Brenda Judith Salazar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.