NPIMap

Organization Active NPI

Jason a. Scorza, D.D.S. and Heather R. Smith, D.D.S., a.D.C.

Doing business as Stanford Ranch Family Dentistry

  • General Practice Dentistry
  • Rocklin, CA
National Provider Identifier
1679646400
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47793 Issued in CA
Legal business name
JASON A. SCORZA, D.D.S. AND HEATHER R. SMITH, D.D.S., A.D.C.
Doing business as
Stanford Ranch Family Dentistry
Practice address
5800 Stanford Ranch Rd
Suite # 110
Rocklin, CA 95765-4385
Phone
(916) 435-4222
Fax
(916) 435-4777
NPI assigned
Nov 17, 2006
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Mr. Jason A Scorza, D.D.S.NPI 1578850152
Title
Owner
Phone
(916) 435-4222

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 47793 CA Primary

Addresses

Primary practice location

5800 Stanford Ranch Rd
Suite # 110
Rocklin, CA 95765-4385

Mailing address

5800 Stanford Ranch Rd
Suite # 110
Rocklin, CA 95765-4385
Phone (916) 435-4222

Other identifiers 3

IdentifierTypeStateIssuer
1449419OtherCAUNITED CONCORDIA
1782454OtherCAUNITED CONCORDIA
1360401OtherCAUNITED CONDORDIA

Other names 1

  • Stanford Ranch Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5800 Stanford Ranch Rd
Ste 110
Rocklin, CA 95765
Phone (916) 435-4222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1679646400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD",
            "address_2": "SUITE # 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654385",
            "telephone_number": "916-435-4222",
            "fax_number": "916-435-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD",
            "address_2": "SUITE # 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654385",
            "telephone_number": "916-435-4222",
            "fax_number": "916-435-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON A. SCORZA, D.D.S. AND HEATHER R. SMITH, D.D.S., A.D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "SCORZA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-435-4222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1449419",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1782454",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONDORDIA",
            "identifier": "1360401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Ranch Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.