Individual provider Active NPI

Enrique Urruchi

  • Dentist
  • Sacramento, CA
National Provider Identifier
1720523004
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101079 Issued in CA
Practice address
3945 Marysville Blvd Ste 1
Sacramento, CA 95838-3762
Phone
(916) 646-4100
NPI assigned
Dec 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101079 CA Primary

Addresses

Primary practice location

3945 Marysville Blvd Ste 1
Sacramento, CA 95838-3762

Mailing address

3945 Marysville Blvd Ste 1
Sacramento, CA 95838-3762
Phone (916) 646-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230425001364 CA Practitioner - Oral Surgery 1658736772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101079CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ramirez & Dr. Urruchi Dental Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Dr. Ramirez & Dr. Urruchi Dental Group Inc PastSince Feb 16, 2020 Accepting new patients
Cherag Dinshaw Sarkari DDS a Dental Corporation Past Accepting new patients

Locations

3248 E Shields Ave
Ste B
Fresno, CA 93726
Phone (559) 225-8300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1720523004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 MARYSVILLE BLVD STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383762",
            "telephone_number": "916-646-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 MARYSVILLE BLVD STE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383762",
            "telephone_number": "916-646-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRUCHI",
        "first_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.