Organization Active NPI

Karim Elnokrashy Dental Corporation

  • Dentist
  • Stockton, CA
National Provider Identifier
1508025826
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50906 Issued in CA
Legal business name
KARIM ELNOKRASHY DENTAL CORPORATION
Practice address
1503 E March LN
Suite #B
Stockton, CA 95210-5600
Phone
(209) 957-8828
Fax
(209) 957-8811
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Karim Ahmad Samy Elnokrashy, DDS
Title
President
Phone
(209) 957-8828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50906 CA Primary

Addresses

Primary practice location

1503 E March LN
Suite #B
Stockton, CA 95210-5600

Mailing address

1503 E March LN
Suite #B
Stockton, CA 95210-5600
Phone (209) 957-8828

Other names 1

  • SMILES DEPOT DENTAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

1503 E March Ln
Ste B
Stockton, CA 95210
Phone (209) 957-8828

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1508025826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 E MARCH LN",
            "address_2": "SUITE #B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105600",
            "telephone_number": "209-957-8828",
            "fax_number": "209-957-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 E MARCH LN",
            "address_2": "SUITE #B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105600",
            "telephone_number": "209-957-8828",
            "fax_number": "209-957-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIM ELNOKRASHY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "ELNOKRASHY",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "AHMAD SAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-957-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILES DEPOT DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.