NPIMap

Organization Active NPI

Sonrisas Dental Health, Inc

  • General Practice Dentistry
  • Half Moon Bay, CA
National Provider Identifier
1447477591
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SONRISAS DENTAL HEALTH, INC
Practice address
210 San Mateo Rd
104
Half Moon Bay, CA 94019-7172
Phone
(650) 726-2144
Fax
(650) 726-2726
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. Bonnie Jue, DDS
Title
Ceo/Dental Director
Phone
(650) 727-3480

Specialties & licenses 1

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

Addresses

Primary practice location

210 San Mateo Rd
104
Half Moon Bay, CA 94019-7172

Mailing address

430 N. El Camino Real
San Mateo, CA 94401
Phone (650) 727-3480

Other identifiers 2

IdentifierTypeStateIssuer
G92656-01MedicaidCA
G98078OtherCAHEALTHY FAMILIES

Other names 1

  • Apple Tree Dental, Sonrisas Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sonrisas Dental Health Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

210 San Mateo Rd
Ste 104
Half Moon Bay, CA 94019
Phone (650) 726-2144

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1447477591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N. EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-727-3480",
            "fax_number": "650-727-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SAN MATEO RD",
            "address_2": "104",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197172",
            "telephone_number": "650-726-2144",
            "fax_number": "650-726-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISAS DENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "JUE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CEO/DENTAL DIRECTOR",
        "authorized_official_telephone_number": "650-727-3480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92656-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY FAMILIES",
            "identifier": "G98078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Tree Dental, Sonrisas Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apple Tree Dental, Sonrisas Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.