Citrus Heights Dental

Primary specialty

DentistTaxonomy code 122300000X

License

45975 Issued in CA

Legal business name

CITRUS HEIGHTS DENTAL

Practice address

6994 Sunrise Blvd
Citrus Heights, CA 95610-3144

Phone

(916) 723-8900

Fax

(916) 723-5168

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Inna Shturman, DDS

Title

Dentist

Phone

(916) 723-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• citrus heights dental Doing business as

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1649562182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103144",
            "telephone_number": "916-723-8900",
            "fax_number": "916-723-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6994 SUNRISE BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103144",
            "telephone_number": "916-723-8900",
            "fax_number": "916-723-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS HEIGHTS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "SHTURMAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-723-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "citrus heights dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delia Ciobanu
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• Citrus Crest Care Home1
• Citrus Heights Community Healthcare, LLC
• Citrus Heights Terrace
• Citrus Plaza Medical Supply
• Payton Morgan Clark Smith
• Angelia Clark
• Chane Clark

• Dentist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.