Organization Active NPI

John a. Nerwinski D.D.S. a Professional Corporation

  • General Practice Dentistry
  • Placerville, CA
National Provider Identifier
1497931968
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23857 Issued in CA
Legal business name
JOHN A. NERWINSKI D.D.S. A PROFESSIONAL CORPORATION
Practice address
384 Placerville Dr
Suite H
Placerville, CA 95667-3939
Phone
(530) 642-9880
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. John A Nerwinski, D.D.S.NPI 1164647327
Title
Owner
Phone
(530) 642-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23857 CA Primary

Addresses

Primary practice location

384 Placerville Dr
Suite H
Placerville, CA 95667-3939

Mailing address

384 Placerville Dr
Suite H
Placerville, CA 95667-3939
Phone (530) 642-9880

National Provider Directory

National Provider Directory

Locations

384 Placerville Dr
Ste H
Placerville, CA 95667
Phone (530) 642-9880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1497931968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 PLACERVILLE DR",
            "address_2": "SUITE H",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673939",
            "telephone_number": "530-642-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 PLACERVILLE DR",
            "address_2": "SUITE H",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956673939",
            "telephone_number": "530-642-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. NERWINSKI D.D.S. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "NERWINSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-642-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.