NPIMap

Organization Active NPI

Pugeda Dental Corporation

  • Dentist
  • Elk Grove, CA
National Provider Identifier
1477799609
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PUGEDA DENTAL CORPORATION
Practice address
2370 Maritime Drive
Elk Grove, CA 95758-3639
Phone
(916) 446-7768
Fax
(916) 446-9014
NPI assigned
Dec 17, 2008
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Dr. James Pugeda, D.D.S.
Title
Ceo, Owner Dentist
Phone
(916) 446-7768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X CA Primary

Addresses

Primary practice location

2370 Maritime Drive
Elk Grove, CA 95758-3639

Mailing address

2370 Maritime Dr
Elk Grove, CA 95758-3639
Phone (916) 446-7768

National Provider Directory

National Provider Directory
Tax ID family
Dr Serena G Pugeda DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2518 L St
Ste A
Sacramento, CA 95816
Phone (916) 446-7768

Practitioners & affiliated clinicians

Practitioners 3

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": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1477799609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 MARITIME DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583639",
            "telephone_number": "916-446-7768",
            "fax_number": "916-446-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 MARITIME DRIVE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583639",
            "telephone_number": "916-446-7768",
            "fax_number": "916-446-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGEDA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "PUGEDA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO, OWNER DENTIST",
        "authorized_official_telephone_number": "916-446-7768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.