Organization Active NPI

Mountain Communities Healthcare Dis

Doing business as Trinity Community Dental Clinic

  • Dental Clinic/Center
  • Weaverville, CA
National Provider Identifier
1467533000
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
230000038 Issued in CA
Legal business name
MOUNTAIN COMMUNITIES HEALTHCARE DIS
Doing business as
Trinity Community Dental Clinic
Practice address
121 Barbara Avenue
Weaverville, CA 96093
Phone
(530) 623-5541
Fax
(530) 623-6421
NPI assigned
Oct 18, 2006
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Ms. Alethea Higgins
Title
Director Revenue Cycle
Phone
(530) 623-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 230000038 CA Primary

Addresses

Primary practice location

121 Barbara Avenue
Weaverville, CA 96093

Mailing address

P.O, Box 1229
60 Easter Avenue
Weaverville, CA 96093-1229
Phone (530) 623-5541

Other identifiers 1

IdentifierTypeStateIssuer
RHC08618FMedicaidCA

Other names 1

  • Trinity Community Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1467533000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O, BOX 1229",
            "address_2": "60 EASTER AVENUE",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960931229",
            "telephone_number": "530-623-5541",
            "fax_number": "530-623-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BARBARA AVENUE",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "96093",
            "telephone_number": "530-623-5541",
            "fax_number": "530-623-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN COMMUNITIES HEALTHCARE DIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "530-623-5541",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "230000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHC08618F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Community Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weaverville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.