NPIMap

Organization Active NPI

Communicare Health Centers

Doing business as Esparto Dental Clinic

  • Dental Clinic/Center
  • Esparto, CA
National Provider Identifier
1568680940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COMMUNICARE HEALTH CENTERS
Doing business as
Esparto Dental Clinic
Practice address
16827 Freemont St.
Esparto, CA 95627
Phone
(530) 787-4972
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristie Stanley
Title
Director of Clinical Info Systems
Phone
(530) 753-3498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X CA Primary

Addresses

Primary practice location

16827 Freemont St.
Esparto, CA 95627

Mailing address

PO Box 1260
Davis, CA 95617-1260
Phone (530) 753-3498

Other names 1

  • Esparto Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Communicare Health Centers13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568680940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1260",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956171260",
            "telephone_number": "530-753-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16827 FREEMONT ST.",
            "city": "ESPARTO",
            "state": "CA",
            "postal_code": "95627",
            "telephone_number": "530-787-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICARE HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL INFO SYSTEMS",
        "authorized_official_telephone_number": "530-753-3498"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esparto Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Esparto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.