NPIMap

Organization Active NPI

Arena Gade Wilkes Milla McClure Dental Corporation

Doing business as Blue Oak Dental Roseville

  • Dentist
  • Roseville, CA
National Provider Identifier
1730117300
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ARENA GADE WILKES MILLA MCCLURE DENTAL CORPORATION
Doing business as
Blue Oak Dental Roseville
Practice address
15 Sierra Gate PLZ
Roseville, CA 95678-6602
Phone
(916) 786-6777
Fax
(916) 783-0706
NPI assigned
Jun 30, 2006
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Mark Arena, DDSNPI 1043235468
Title
PC Holder
Phone
(916) 786-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

15 Sierra Gate PLZ
Roseville, CA 95678-6602

Mailing address

15 Sierra Gate PLZ
Roseville, CA 95678-6602
Phone (916) 786-6777

Other names 1

  • Blue Oak Dental Roseville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arena Gade Wilkes Milla McClure Dental Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Sierra Gate Plz
Roseville, CA 95678
Phone (916) 786-6777

Practitioners & affiliated clinicians

Practitioners 8

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1730117300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SIERRA GATE PLZ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786602",
            "telephone_number": "916-786-6777",
            "fax_number": "916-783-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SIERRA GATE PLZ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786602",
            "telephone_number": "916-786-6777",
            "fax_number": "916-783-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARENA GADE WILKES MILLA MCCLURE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PC HOLDER",
        "authorized_official_telephone_number": "916-786-6777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Oak Dental Roseville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.