NPIMap

Organization Active NPI

LP Dental Care Corporation

  • Dentist
  • Sacramento, CA
National Provider Identifier
1649507781
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49639 Issued in CA
Legal business name
LP DENTAL CARE CORPORATION
Practice address
6830 Stockton Blvd
Ste 185
Sacramento, CA 95823-2325
Phone
(916) 422-5628
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. Loan Thi-Thanh Pham, DDSNPI 1861521817
Title
President
Phone
(916) 422-5628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 49639 CA Primary

Addresses

Primary practice location

6830 Stockton Blvd
Ste 185
Sacramento, CA 95823-2325

Mailing address

6830 Stockton Blvd
Ste 185
Sacramento, CA 95823-2325
Phone (916) 422-5628

National Provider Directory

National Provider Directory

Locations

6830 Stockton Blvd
Ste 185
Sacramento, CA 95823
Phone (916) 422-5628

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1649507781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 STOCKTON BLVD",
            "address_2": "STE 185",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232325",
            "telephone_number": "916-422-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 STOCKTON BLVD",
            "address_2": "STE 185",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232325",
            "telephone_number": "916-422-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP DENTAL CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "THI-THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-422-5628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.