Bert and David Engstrom DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33570 Issued in CA

Legal business name

BERT AND DAVID ENGSTROM DMD INC

Practice address

1122 Rose Ave
Selma, CA 93662-3257

Phone

(559) 896-0323

Fax

(559) 896-9251

NPI assigned

Jun 14, 2014

Last updated

Jun 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bert Felt Engstrom, DMDNPI 1801947494

Title

Dentist

Phone

(559) 896-0323

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Bert Felt Engstrom, D.M.D.

  • General Practice Dentistry
  • Selma, CA
  • NPI 1801947494
  NPD (past) Authorized official

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402704000000",
    "number": "1679987903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623257",
            "telephone_number": "559-896-0323",
            "fax_number": "559-896-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623257",
            "telephone_number": "559-896-0323",
            "fax_number": "559-896-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERT AND DAVID ENGSTROM DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-14",
        "last_updated": "2014-06-14",
        "status": "A",
        "authorized_official_last_name": "ENGSTROM",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "FELT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "559-896-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajbir Bains, PHARMD
• Baljinder Singh Sidhu MD Inc
• Stephanie Christian Bangerter, NP
• Baz Allergy, Asthma & Sinus Center, Inc.
• Jonathan Peter Berndt, CRNA
• Laurie Berthold, CPNP
• Bethel Assisted Living LLC
• Bethel Lutheran Home, Inc.
• Bethel Skilled Care LLC
• Jasmine Rarang Biol, MD

• General Practice Dentistry in Selma, CA
• Providers in Selma, 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 Jun 14, 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.