NPIMap

Organization Active NPI

Zinfandel Dental Practice

  • Dentist
  • Sacramento, CA
National Provider Identifier
1679728398
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50333 Issued in CA
Legal business name
ZINFANDEL DENTAL PRACTICE
Practice address
6829 Savings PL Ste 101
Sacramento, CA 95828-1291
Phone
(916) 391-1156
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Richard Nguyen, DMD
Title
Owner
Phone
(916) 391-1156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50333 CA Primary

Addresses

Primary practice location

6829 Savings PL Ste 101
Sacramento, CA 95828-1291

Mailing address

6829 Savings PL Ste 101
Sacramento, CA 95828-1291
Phone (916) 391-1156

Other identifiers 1

IdentifierTypeStateIssuer
G93130-01OtherCADENTI-CAL BILLING NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Zinfandel Dental Practice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6829 Savings Pl
Ste 101
Sacramento, CA 95828
Phone (916) 391-1156

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1679728398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6829 SAVINGS PL STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958281291",
            "telephone_number": "916-391-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6829 SAVINGS PL STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958281291",
            "telephone_number": "916-391-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINFANDEL DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-391-1156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL BILLING NUMBER",
            "identifier": "G93130-01",
            "state": "CA"
        }
    ],
    "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 Nov 21, 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.