NPIMap

Organization Active NPI

Cynthia B. Creech, DDS, Dental Corp

  • General Practice Dentistry
  • Ben Lomond, CA
National Provider Identifier
1649540774
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51551 Issued in CA
Legal business name
CYNTHIA B. CREECH, DDS, DENTAL CORP
Practice address
231 Main St
Ben Lomond, CA 95005-9394
Phone
(831) 336-2261
Fax
(831) 336-5600
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Cynthia Creech, DDSNPI 1558547166
Title
Owner Dentist
Phone
(831) 336-2261

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 51551 CA Primary

Addresses

Primary practice location

231 Main St
Ben Lomond, CA 95005-9394

Mailing address

PO Box 847
Ben Lomond, CA 95005-0847
Phone (831) 336-2261

National Provider Directory

National Provider Directory

Locations

231 Main St
Ben Lomond, CA 95005
Phone (831) 336-2261

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": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1649540774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950050847",
            "telephone_number": "831-336-2261",
            "fax_number": "831-336-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAIN ST",
            "city": "BEN LOMOND",
            "state": "CA",
            "postal_code": "950059394",
            "telephone_number": "831-336-2261",
            "fax_number": "831-336-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA B. CREECH, DDS, DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "831-336-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ben Lomond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.