Organization Active NPI

Bear Creek Family Dental

  • General Practice Dentistry
  • Merced, CA
National Provider Identifier
1497630511
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEAR CREEK FAMILY DENTAL
Doing business as
Bear Creek Family Dental
Practice address
118 Park Ave
Merced, CA 95348-3421
Phone
(209) 383-5935
NPI assigned
Aug 7, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Amanda Huerta
Title
Front Desk
Phone
(209) 383-5935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

118 Park Ave
Merced, CA 95348-3421

Mailing address

118 Park Ave
Merced, CA 95348-3421
Phone (209) 383-5935

Other names 1

  • Bear Creek Family Dental 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": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1497630511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PARK AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483421",
            "telephone_number": "209-383-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PARK AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483421",
            "telephone_number": "209-383-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "209-383-5935"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.