Orchard Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

317533 Issued in CA

Legal business name

ORCHARD DENTAL GROUP

Practice address

11121 Fair Oaks Blvd
Fair Oaks, CA 95628-5136

Phone

(916) 961-6810

Fax

(916) 961-6445

NPI assigned

Aug 23, 2007

Last updated

Aug 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Benson

Title

Office Administrator

Phone

(916) 961-6810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1437342334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 FAIR OAKS BLVD",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285136",
            "telephone_number": "916-961-6810",
            "fax_number": "916-961-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 FAIR OAKS BLVD",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285136",
            "telephone_number": "916-961-6810",
            "fax_number": "916-961-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "916-961-6810"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "317533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward John Olson, LCSW
• Mandy On, PHARMD
• Sheri Ann Opp, D.D.S
• Optimal Motion Dynamics, Inc.
• Orangevale Hospice Care, Inc. (CarePoint Healthcare)
• Erin Orchid
• Orcutt Family Dentistry
• Brian S Orcutt, DDS
• Christina Michele Orcutt
• Kristine Origone, APCC

• Dentist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.