NPIMap

Organization Active NPI

Elsemary and Salem Dental Corporation

Doing business as Elk Grove Kids Dentist & Orthodontics

  • Dental Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1649721515
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
47882 Issued in CA
Legal business name
ELSEMARY AND SALEM DENTAL CORPORATION
Doing business as
Elk Grove Kids Dentist & Orthodontics
Practice address
9045 Bruceville Rd Ste 110
Elk Grove, CA 95758-5950
Phone
(916) 436-5437
Fax
(916) 897-9265
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Ms. Veronica Cortes
Title
Office Manager
Phone
(916) 436-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 47882 CA Primary

Addresses

Primary practice location

9045 Bruceville Rd Ste 110
Elk Grove, CA 95758-5950

Mailing address

9045 Bruceville Rd Ste 110
Elk Grove, CA 95758-5950
Phone (916) 436-5437

Other names 1

  • Elk Grove Kids Dentist & Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elsemary and Salem Dental Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9045 Bruceville Rd
Ste 110
Elk Grove, CA 95758
Phone (916) 436-5437

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1649721515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD STE 110",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585950",
            "telephone_number": "916-436-5437",
            "fax_number": "916-897-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD STE 110",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585950",
            "telephone_number": "916-436-5437",
            "fax_number": "916-897-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSEMARY AND SALEM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-436-5437",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Grove Kids Dentist & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.