C. Thaddeus Szymanowski, D.D.S, Inc.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19011 Issued in CA

Legal business name

C. THADDEUS SZYMANOWSKI, D.D.S, INC.

Doing business as

Campus Commons Periodontics

Practice address

99 Scripps Dr
Ste 200
Sacramento, CA 95825-6207

Phone

(916) 929-5052

Fax

(916) 929-5416

NPI assigned

Feb 2, 2007

Last updated

Oct 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

C Thaddeus Szymanowski, DDS

Title

Periodontist

Phone

(916) 929-5052

Specialties & licenses 2

Addresses

Other names 1

• Campus Commons Periodontics Doing business as

Locations

Practitioners 2

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.

• Casimir Thaddeus Szymanowski, DDS

  • Dentist
  • Sacramento, CA
  • NPI 1699050724
  NPD (past)
• Jonathan Casimir Szymanowski, DMD,MMSC

  • Periodontics
  • Sacramento, CA
  • NPI 1164467148
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1548308356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SCRIPPS DR",
            "address_2": "STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256317",
            "telephone_number": "916-929-5052",
            "fax_number": "916-929-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SCRIPPS DR",
            "address_2": "STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256207",
            "telephone_number": "916-929-5052",
            "fax_number": "916-929-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. THADDEUS SZYMANOWSKI, D.D.S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "SZYMANOWSKI",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "THADDEUS",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "916-929-5052",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "46331",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "19011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Commons Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Byrne, BCBA
• William Jonathan Byrne, PHARMD
• Jamie Lee Byrnes, RADT
• Jonathan Bystrynski, PHD
• C O R E Medical Clinic Inc
• C.O.N.R., Inc.
• C.S Crescent Solutions LLC
• C&B Family Corporation (B.E.Y.A. Leader Mentoring Program)
• Phuong P Ca
• Justin Caalim

• Periodontics in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.