Organization Active NPI

Luis C. Estrada DDS Inc.

Doing business as Healthy Smiles

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1437381621
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37414 Issued in CA
Legal business name
LUIS C. ESTRADA DDS INC.
Doing business as
Healthy Smiles
Practice address
3450 Stine Rd
Bakersfield, CA 93309-6341
Phone
(661) 377-6453
Fax
(661) 377-7000
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Mrs. Darlene Basaldua
Title
Office Manager
Phone
(661) 377-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 37414 CA Primary

Addresses

Primary practice location

3450 Stine Rd
Bakersfield, CA 93309-6341

Mailing address

3450 Stine Rd
Bakersfield, CA 93309-6341
Phone (661) 377-6453

Other names 1

  • Healthy Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthy Smiles2 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

3450 Stine Rd
Bakersfield, CA 93309
Phone (661) 377-6453

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1437381621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096341",
            "telephone_number": "661-377-6453",
            "fax_number": "661-377-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933096341",
            "telephone_number": "661-377-6453",
            "fax_number": "661-377-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS C. ESTRADA DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "BASALDUA",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-377-6453",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.