M. Arlenita O. Gomez-Croddy, DDS, a Professional Dental Corproation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38533 Issued in CA

Legal business name

M. ARLENITA O. GOMEZ-CRODDY, DDS, A PROFESSIONAL DENTAL CORPROATION

Practice address

6600 Madison Ave Ste 12
Carmichael, CA 95608-0645

Phone

(916) 961-4522

Fax

(916) 961-0406

NPI assigned

Mar 5, 2018

Last updated

Mar 5, 2018By 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

Dr. M. Arlenita Oquendo Gomez-Croddy, DDS

Title

President

Phone

(916) 961-4522

Specialties & licenses 1

Addresses

Other names 1

• Arlenita Gomez-Croddy, DDS, PDC Other name

Locations

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.

• Arlenita Oquendo Gomez-Croddy, D. D. S.

  • Dentist
  • Las Vegas, NV
  • NPI 1790871358
  NPD

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1467954545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 12",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-961-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MADISON AVE STE 12",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080645",
            "telephone_number": "916-961-4522",
            "fax_number": "916-961-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. ARLENITA O. GOMEZ-CRODDY, DDS, A PROFESSIONAL DENTAL CORPROATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-CRODDY",
        "authorized_official_first_name": "M. ARLENITA",
        "authorized_official_middle_name": "OQUENDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-961-4522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "38533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlenita Gomez-Croddy, DDS, PDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lucky Stores II LLC (Savon Drugs)
• George Luh, M.D.
• Sabeen T Lulu, M.D
• An V Ly, MD
• Leo Harrell Lynn Jr.
• Than T. Ma, M.D.
• Peter Maanao Jr., NP
• Cooper Ray Macgregor
• Jason Allen Mack, MSWI
• Margaret C Mack, RN, MSN, FNP

• Dental Clinic/Center in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.