Active NPI
Cromeyer Dental Corporation
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1669714390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59396
- Legal business name
- CROMEYER DENTAL CORPORATION
- Practice address
- 4500 47TH Ave Ste 1
Sacramento, CA 95824-3848 - Phone
- (916) 422-1917
- Fax
- (916) 422-2459
- NPI assigned
- Mar 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer E Cromeyer, DDS
- Title
- President
- Phone
- (916) 422-1917
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59396 | CA | Primary |
Addresses
Primary practice location
4500 47TH Ave Ste 1
Sacramento, CA 95824-3848
Mailing address
5050 Laguna Blvd Ste 112-601
Elk Grove, CA 95758-4151
Phone (916) 422-1917
National Provider Directory
National Provider DirectoryLocations
5050 Laguna Blvd
Ste 112601
Elk Grove, CA 95758
4500 47th Ave
Ste 1
Sacramento, CA 95824
Phone (916) 422-1917
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Sacramento, CA
- NPI 1467766808
-
- General Practice Dentistry
- Sacramento, CA
- NPI 1457362584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1669714390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 LAGUNA BLVD STE 112-601",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584151",
"telephone_number": "916-422-1917",
"fax_number": "916-422-2459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 47TH AVE STE 1",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958243848",
"telephone_number": "916-422-1917",
"fax_number": "916-422-2459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROMEYER DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "CROMEYER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-422-1917",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59396",
"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 Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.