NPIMap

Organization Active NPI

Sonrisa Bright Dental Group #2

Doing business as Sonrisas Bright Dental 2

  • Dental Clinic/Center
  • Hayward, CA
National Provider Identifier
1760159305
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SONRISA BRIGHT DENTAL GROUP #2
Doing business as
Sonrisas Bright Dental 2
Practice address
1041 McKeever Ave
Hayward, CA 94541-4022
Phone
(510) 460-9366
Fax
(510) 460-9436
NPI assigned
Aug 23, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Edwin Chicchon, DDSNPI 1609060649
Title
Owner, Dentist
Phone
(510) 713-8986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1041 McKeever Ave
Hayward, CA 94541-4022

Mailing address

1041 McKeever Ave
Hayward, CA 94541-4022
Phone (510) 460-9366

Other names 1

  • Sonrisas Bright Dental 2 Doing business as

National Provider Directory

National Provider Directory

Locations

1041 McKeever Ave
Hayward, CA 94541
Phone (510) 460-9366

Practitioners & affiliated clinicians

Practitioners 1

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonrisas Bright Dental 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • 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.