NPIMap

Organization Active NPI

Alexander Vilderman Dental, Inc

  • Public Health Dentistry
  • West Sacramento, CA
National Provider Identifier
1700269982
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
40753 Issued in CA
Legal business name
ALEXANDER VILDERMAN DENTAL, INC
Practice address
825 Harbor Blvd
West Sacramento, CA 95691-2201
Phone
(916) 372-8525
Fax
(916) 372-5971
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Alexander Vilderman
Title
Owner
Phone
(916) 372-8525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 40753 CA Primary

Addresses

Primary practice location

825 Harbor Blvd
West Sacramento, CA 95691-2201

Mailing address

825 Harbor Blvd
West Sacramento, CA 95691-2201
Phone (916) 372-8525

National Provider Directory

National Provider Directory

Locations

825 Harbor Blvd
West Sacramento, CA 95691
Phone (916) 372-8525

Practitioners & affiliated clinicians

Practitioners 5

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": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1700269982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HARBOR BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912201",
            "telephone_number": "916-372-8525",
            "fax_number": "916-372-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HARBOR BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912201",
            "telephone_number": "916-372-8525",
            "fax_number": "916-372-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER VILDERMAN DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "VILDERMAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-372-8525"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "CA",
            "license": "40753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.