Organization Active NPI

Amador Valley Dental X-Ray Inc.

Doing business as C&G Dental X-Ray

  • Radiography Radiologic Technologist
  • Pleasanton, CA
National Provider Identifier
1447511464
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
RHP00041624 Issued in CA
Legal business name
AMADOR VALLEY DENTAL X-RAY INC.
Doing business as
C&G Dental X-Ray
Practice address
1475 Cedarwood LN Ste D
Pleasanton, CA 94566-6128
Phone
(925) 846-9291
Fax
(925) 846-9260
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Nancy Furtado
Title
Vice Pres.
Phone
(925) 846-9291

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X RHP00041624 CA
Computed Tomography Radiologic Technologist 2471C3401X RHP00041624 CA
Radiography Radiologic Technologist 2471C3402X RHP00041624 CA Primary

Addresses

Primary practice location

1475 Cedarwood LN Ste D
Pleasanton, CA 94566-6128

Mailing address

1475 Cedarwood LN Ste D
Pleasanton, CA 94566-6128
Phone (925) 846-9291

Other names 1

  • C&G DENTAL X-RAY Doing business as

National Provider Directory

National Provider Directory

Locations

1475 Cedarwood Ln
Ste D
Pleasanton, CA 94566
Phone (925) 846-9291

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1447511464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 CEDARWOOD LN STE D",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666128",
            "telephone_number": "925-846-9291",
            "fax_number": "925-846-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 CEDARWOOD LN STE D",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666128",
            "telephone_number": "925-846-9291",
            "fax_number": "925-846-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADOR VALLEY DENTAL X-RAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "FURTADO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "VICE PRES.",
        "authorized_official_telephone_number": "925-846-9291"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHP00041624",
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "CA",
            "license": "RHP00041624",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "RHP00041624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C&G DENTAL X-RAY",
            "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 6, 2012; 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.