NPIMap

Organization Active NPI

Smile Health Solutions

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stockton, CA
National Provider Identifier
1578807038
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
35230 Issued in CA
Legal business name
SMILE HEALTH SOLUTIONS
Practice address
1350 W Robinhood Dr
Suite 20
Stockton, CA 95207-5512
Phone
(209) 477-6700
Fax
(800) 420-5168
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Ralph A Callender, DDS
Title
Managing Orthodontist
Phone
(209) 477-6700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35230 NU
Pediatric Dentistry 1223P0221X 35230 CA
Oral and Maxillofacial Radiology Dentistry 1223X0008X 35230 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 35230 CA Primary

Addresses

Primary practice location

1350 W Robinhood Dr
Suite 20
Stockton, CA 95207-5512

Mailing address

1350 W Robinhood Dr
Suite 20
Stockton, CA 95207-5512
Phone (209) 477-6700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1578807038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W ROBINHOOD DR",
            "address_2": "SUITE 20",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075512",
            "telephone_number": "209-477-6700",
            "fax_number": "800-420-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W ROBINHOOD DR",
            "address_2": "SUITE 20",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075512",
            "telephone_number": "209-477-6700",
            "fax_number": "800-420-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "CALLENDER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING ORTHODONTIST",
        "authorized_official_telephone_number": "209-477-6700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": "35230",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "35230",
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "CA",
            "license": "35230",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "35230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2012; 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.