Organization Active NPI

Giving Smiles

  • Dentist
  • Sacramento, CA
National Provider Identifier
1679972525
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38494 Issued in CA
Legal business name
GIVING SMILES
Practice address
2410 Fair Oaks Blvd
#120
Sacramento, CA 95825-7663
Phone
(916) 934-8527
NPI assigned
Aug 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Authorized official

Name
John Bertsch, DENTIST
Title
President
Phone
(916) 934-8527

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 06332 CA
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X L11402552 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 38494 CA Primary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X CA
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X

Addresses

Primary practice location

2410 Fair Oaks Blvd
#120
Sacramento, CA 95825-7663

Mailing address

2410 Fair Oaks Blvd
#120
Sacramento, CA 95825-7663
Phone (916) 934-8527

National Provider Directory

National Provider Directory

Locations

2410 Fair Oaks Blvd
Ste 120
Sacramento, CA 95825
Phone (916) 934-8527

NPI Registry JSON

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1679972525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 FAIR OAKS BLVD",
            "address_2": "#120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257663",
            "telephone_number": "916-934-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 FAIR OAKS BLVD",
            "address_2": "#120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257663",
            "telephone_number": "916-934-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVING SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "BERTSCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-934-8527",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "06332",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": "L11402552",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38494",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 16, 2014; 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.