Newark Square Dental Care Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEWARK SQUARE DENTAL CARE INC

Practice address

5678 Thornton Ave.
Newark, CA 94560

Phone

(510) 894-1556

Fax

(650) 968-6299

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Susan P. Galvan

Title

Administrator

Phone

(408) 627-1628

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1538713086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5678 THORNTON AVE.",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "94560",
            "telephone_number": "510-894-1556",
            "fax_number": "650-968-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5678 THORNTON AVE.",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "94560",
            "telephone_number": "510-894-1556",
            "fax_number": "650-968-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK SQUARE DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "408-627-1628"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enayjah Neal
• Heela Nekrawesh
• Rosemarie Melinda Nelson
• Parviz Nessari, B.S., D.C.
• Newark Acuhealing LLC
• Newark Unified School District
• Elizabeth Newell
• Nexus Behavioral Health, LLC
• Robert Nezami, M.D.
• Kason NG

• General Practice Dentistry in Newark, CA
• Providers in Newark, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.