NPIMap

Organization Active NPI

Branch Dental Clinic Monterey

  • Dental Clinic/Center
  • Monterey, CA
National Provider Identifier
1477753481
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRANCH DENTAL CLINIC MONTEREY
Practice address
1 University Cir
Monterey, CA 93943-5098
Phone
(559) 998-4982
NPI assigned
Jul 19, 2007
Organization subpart
Yes
Parent organization
NAVAL HEALTH CLINIC LEMOOREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
William M Condon
Title
Bumed Ubo
Phone
(240) 401-3643

Specialties & licenses 1

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

Addresses

Primary practice location

1 University Cir
Monterey, CA 93943-5098

Mailing address

1 University Cir
Monterey, CA 93943-5098

National Provider Directory

National Provider Directory
Tax ID family
Hanford Community Medical Center - Navy Resource Sharing6 organizations share this tax ID, including this one
Part of
Hanford Community Medical Center - Navy Resource Sharing

Other organizations with this tax ID 5

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

Locations

1 University Cir
Monterey, CA 93943
Phone (559) 998-4982

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1477753481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939435098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939435098",
            "telephone_number": "559-998-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH DENTAL CLINIC MONTEREY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HEALTH CLINIC LEMOORE",
        "enumeration_date": "2007-07-19",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUMED UBO",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.