Nicasio Abriol DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

43301 Issued in CA

Legal business name

NICASIO ABRIOL DMD INC

Practice address

1512 S El Dorado St
Stockton, CA 95206-2020

Phone

(209) 465-1254

Fax

(209) 465-0854

NPI assigned

Sep 10, 2007

Organization subpart

Yes

Parent organization

MT.PLEASANT DENTAL CENTERAs reported in NPPES

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

Authorized official

Name

Debbie Henry

Title

Manager

Phone

(209) 465-1254

Specialties & licenses 1

Addresses

Part of

Abriol Dental Corp

Locations

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1700071065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062020",
            "telephone_number": "209-465-1254",
            "fax_number": "209-465-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 S EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062020",
            "telephone_number": "209-465-1254",
            "fax_number": "209-465-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICASIO ABRIOL DMD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT.PLEASANT DENTAL CENTER",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-465-1254"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "43301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xuan Thi Nguyen
• Nhons Pharmacy
• Mohammad Z Niazi
• Sadia Z F Niazi, DDS, MMSC
• Shazia Niazi
• Dillon Niceler
• Angie Jo Nicholas, LMFT
• Lisa M Nichols
• Michael Nichols, RADT
• Ruth Elizabeth Nichols, RN

• Dental Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.