Active NPI
Tracy Dental Excellence, Chase Dental Group, Inc.
- Dentist
- Tracy, CA
National Provider Identifier
1770934226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37319
- Legal business name
- TRACY DENTAL EXCELLENCE, CHASE DENTAL GROUP, INC.
- Practice address
- 2858 West Grantline Rd
Tracy, CA 95304 - Phone
- (925) 699-3131
- NPI assigned
- Jun 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randolph Taylor
- Title
- Agent
- Phone
- (909) 967-3442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37319 | CA | Primary |
Addresses
Primary practice location
2858 West Grantline Rd
Tracy, CA 95304
Mailing address
3876 Los Arabis Dr
Lafayette, CA 94549-2947
Phone (925) 699-3131
National Provider Directory
National Provider DirectoryLocations
2858 W Grant Line Rd
Tracy, CA 95304
Phone (925) 699-3131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466985600000",
"number": "1770934226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3876 LOS ARABIS DR",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945492947",
"telephone_number": "925-699-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2858 WEST GRANTLINE RD",
"city": "TRACY",
"state": "CA",
"postal_code": "95304",
"telephone_number": "925-699-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACY DENTAL EXCELLENCE, CHASE DENTAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "RANDOLPH",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "909-967-3442"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "37319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
- Total Care Trans LLC
- Total Renal Care Inc (Tracy Home Training)
- Holly K. Towkaniuk, C.M.T., H.H.P.
- Tracy Anesthesia & Pain Medical Group Inc
- Tracy Community Connections Center
- Tracy Dermatology Medical Group
- Tracy Eye Care Medical Clinic
- Tracy Family Dental Center
- Tracy Hills Dental Care
- Tracy Learning Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.