Active NPI
Broadstone Dental
- General Practice Dentistry
- Folsom, CA
National Provider Identifier
1720290216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50562
- Legal business name
- BROADSTONE DENTAL
- Practice address
- 2784.E Bidwell St. Ste 350
Folsom, CA 95630 - Phone
- (916) 817-2966
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- H Daniel Aslani
- Title
- President
- Phone
- (916) 201-6704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50562 | CA | Primary |
Addresses
Primary practice location
2784.E Bidwell St. Ste 350
Folsom, CA 95630
Mailing address
2784.E Bidwell St. Ste 350
Folsom, CA 95630
National Provider Directory
National Provider DirectoryLocations
2784 E Bidwell St
Ste 350
Folsom, CA 95630
Phone (916) 817-2966
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1134346729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187827200000",
"number": "1720290216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2784.E BIDWELL ST. STE 350",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2784.E BIDWELL ST. STE 350",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-817-2966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROADSTONE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2007-08-23",
"status": "A",
"authorized_official_last_name": "ASLANI",
"authorized_official_first_name": "H",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-201-6704"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.