Organization Active NPI

Bueno and Sellick Dentistry Partnership

  • Dentist
  • Pleasanton, CA
National Provider Identifier
1396194098
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38498 Issued in CA
Legal business name
BUENO AND SELLICK DENTISTRY PARTNERSHIP
Practice address
4430 Willow Rd
Suite H
Pleasanton, CA 94588-8575
Phone
(925) 426-1300
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Dr. Jeffrey Bueno, D.D.S.NPI 1558488544
Title
Managing Partner
Phone
(925) 426-1300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 38498 CA Primary

Addresses

Primary practice location

4430 Willow Rd
Suite H
Pleasanton, CA 94588-8575

Mailing address

4430 Willow Rd
Suite H
Pleasanton, CA 94588-8575
Phone (925) 426-1300

Other names 1

  • Pacific Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4430 Willow Rd
Ste H
Pleasanton, CA 94588
Phone (925) 426-1300

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": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1396194098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 WILLOW RD",
            "address_2": "SUITE H",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888575",
            "telephone_number": "925-426-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 WILLOW RD",
            "address_2": "SUITE H",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888575",
            "telephone_number": "925-426-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENO AND SELLICK DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "925-426-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.