Abc Dental Corporation – Dentist

Key facts

NPI: 1639384258
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 14246 (CA)
Legal business name: ABC DENTAL CORPORATION
Practice address: 2828 Mills Park Drive Suite C
Rancho Cordova, CA 95670
Phone: (916) 363-3216
Fax: (916) 363-0269
NPI assigned: May 14, 2007
Organization subpart: No

Authorized official

Name: Ronald E Buhler, DDS
Title: Dentist Corporation Owner
Phone: (916) 363-3216

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist Group: 193400000X SINGLE SPECIALTY GROUP	122300000X	14246	CA	Yes

Addresses

Primary practice location

2828 Mills Park Drive Suite C
Rancho Cordova, CA 95670

Mailing address

2828 Mills Park Drive
Ste C
Rancho Cordova, CA 95670
Phone (916) 363-3216

Other identifiers

Identifier	Type	State	Issuer
B14246 01	Other	CA	MEDICAL DENTAL

Other names

Ronald E Buhler DDS INC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2008.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1639384258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 MILLS PARK DRIVE",
            "address_2": "STE C",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-363-3216",
            "fax_number": "916-363-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MILLS PARK DRIVE SUITE C",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-363-3216",
            "fax_number": "916-363-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "BUHLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST  CORPORATION  OWNER",
        "authorized_official_telephone_number": "916-363-3216",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "14246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL  DENTAL",
            "identifier": "B14246 01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald E Buhler DDS INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cordova, CA

All providers in Rancho Cordova, CA · Dentist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.