Dr. Inna Shturman, a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. INNA SHTURMAN, A DENTAL CORPORATION

Practice address

8759 Center Parkway
Sacramento, CA 95823

Phone

(916) 382-8900

Fax

(916) 570-8300

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Malissa Therese Duke

Title

Office Manager

Phone

(916) 382-8900

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Sacramento Wellness Dentistry Doing business as
• Bruceville Dental Other name

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1669930111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8759 CENTER PARKWAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95823",
            "telephone_number": "916-382-8900",
            "fax_number": "916-570-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8759 CENTER PARKWAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95823",
            "telephone_number": "916-382-8900",
            "fax_number": "916-570-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. INNA SHTURMAN, A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-382-8900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "45975",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B86205341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacramento Wellness Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bruceville Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.