Sonrisa Bright Dental Group #2

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SONRISA BRIGHT DENTAL GROUP #2

Practice address

1041 McKeever Ave
Hayward, CA 94541-4022

Phone

(510) 460-9366

Fax

(510) 460-9436

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Edwin Chicchon, DDS

Title

Owner, Dentist

Phone

(510) 713-8986

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonrisas Bright Dental 2 Doing business as

Locations

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1760159305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 MCKEEVER AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414022",
            "telephone_number": "510-460-9366",
            "fax_number": "510-460-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 MCKEEVER AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414022",
            "telephone_number": "510-460-9366",
            "fax_number": "510-460-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA BRIGHT DENTAL GROUP #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "CHICCHON",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "510-713-8986",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEA",
            "identifier": "1609060649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonrisas Bright Dental 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabella Shtulman Soloveychik, D.D.S.
• Kinnari Deepak Soneji, B.PHARM
• Caroline S. Song, MD
• Qingnian Song
• Zoe Sonnenberg
• Gerald Soohoo, DDS
• Angeline Mamongay Soriano
• Arra Kriselda Bariuan Soriano
• Lisa Soriano
• Odalys Sosa Pineda

• Dental Clinic/Center in Hayward, CA
• Providers in Hayward, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.