Organization Active NPI

Tuolumne County Office of Education

Doing business as Smile Keepers Dental

  • Local Education Agency (LEA)
  • Sonora, CA
National Provider Identifier
1689861841
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
TUOLUMNE COUNTY OFFICE OF EDUCATION
Doing business as
Smile Keepers Dental
Practice address
175 Fairview LN
Sonora, CA 95370-4809
Phone
(209) 533-2225
Fax
(209) 536-2003
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Larry A. Moe, DDSNPI 1598809899
Title
Dentist
Phone
(209) 533-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

175 Fairview LN
Sonora, CA 95370-4809

Mailing address

175 Fairview LN
Sonora, CA 95370-4809
Phone (209) 533-2225

Other names 1

  • Smile Keepers Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smile Keepers Dental2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1689861841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FAIRVIEW LN",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704809",
            "telephone_number": "209-533-2225",
            "fax_number": "209-536-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FAIRVIEW LN",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704809",
            "telephone_number": "209-533-2225",
            "fax_number": "209-536-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUOLUMNE COUNTY OFFICE OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-533-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Keepers Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.