NPIMap

Organization Active NPI

C-Dental X-Ray Inc

  • Dental Laboratory
  • San Mateo, CA
National Provider Identifier
1730406653
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
License
RHP 53519 Issued in CA
Legal business name
C-DENTAL X-RAY INC
Practice address
424 N San Mateo Dr
Suite 100
San Mateo, CA 94401-2491
Phone
(650) 685-8097
NPI assigned
May 3, 2010
Last updated
Jun 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Jerome Peck
Title
Ceo
Phone
(650) 685-8097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X RHP 53519 CA Primary

Addresses

Primary practice location

424 N San Mateo Dr
Suite 100
San Mateo, CA 94401-2491

Mailing address

424 N San Mateo Dr
Suite 100
San Mateo, CA 94401-2491

National Provider Directory

National Provider Directory
Tax ID family
C-Dental X-Ray Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

424 N San Mateo Dr
Ste 100
San Mateo, CA 94401
Phone (650) 348-5112

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1730406653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR",
            "address_2": "SUITE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR",
            "address_2": "SUITE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012491",
            "telephone_number": "650-685-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C-DENTAL X-RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-685-8097"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "CA",
            "license": "RHP 53519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.