Organization Active NPI

Build and Restore International

  • Public Health Dentistry
  • Citrus Heights, CA
National Provider Identifier
1578148276
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
BUILD AND RESTORE INTERNATIONAL
Practice address
6426 Cedar Ranch Dr
Citrus Heights, CA 95621-5623
Phone
(916) 316-8972
NPI assigned
Mar 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2021

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

Authorized official

Name
Ostap Dzyndra
Title
President
Phone
(916) 316-8972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

6426 Cedar Ranch Dr
Citrus Heights, CA 95621-5623

Mailing address

6426 Cedar Ranch Dr
Citrus Heights, CA 95621-5623

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.buildandrestore.org Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615680000000",
    "number": "1578148276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 CEDAR RANCH DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 CEDAR RANCH DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956215623",
            "telephone_number": "916-316-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILD AND RESTORE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A",
        "authorized_official_last_name": "DZYNDRA",
        "authorized_official_first_name": "OSTAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-316-8972"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.buildandrestore.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Contact Info",
            "address_1": "6426 Cedar Ranch Dr",
            "city": "Citrus Heights",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956215623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.