NPIMap

Organization Active NPI

Capitol Oral-Systemic Health Inc

  • Dentist
  • Sacramento, CA
National Provider Identifier
1710351192
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26934 Issued in CA
Legal business name
CAPITOL ORAL-SYSTEMIC HEALTH INC
Practice address
2131 Capitol Ave
300
Sacramento, CA 95816-5755
Phone
(916) 813-3743
Fax
(916) 446-6636
NPI assigned
Nov 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Dr. Jeffrey C Vernon, DDS
Title
President
Phone
(916) 442-4674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 26934 CA Primary

Addresses

Primary practice location

2131 Capitol Ave
300
Sacramento, CA 95816-5755

Mailing address

2131 Capitol Ave
300
Sacramento, CA 95816-5755
Phone (916) 813-3743

National Provider Directory

National Provider Directory

Locations

2131 Capitol Ave
Ste 300
Sacramento, CA 95816
Phone (916) 442-4674

Practitioners & affiliated clinicians

Practitioners 3

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": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1710351192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 CAPITOL AVE",
            "address_2": "300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165755",
            "telephone_number": "916-813-3743",
            "fax_number": "916-446-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 CAPITOL AVE",
            "address_2": "300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165755",
            "telephone_number": "916-813-3743",
            "fax_number": "916-446-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL ORAL-SYSTEMIC HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-442-4674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26934",
            "primary": true
        }
    ],
    "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 May 21, 2019; 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.