C. N. Zertuche, Inc., a Professional Dental Corporation

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

60794 Issued in CA

Legal business name

C. N. ZERTUCHE, INC., A PROFESSIONAL DENTAL CORPORATION

Practice address

3340 Tully Rd Ste D3
Modesto, CA 95350-0852

Phone

(209) 232-5846

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Christina Nicole Lee ZertucheNPI 1346520046

Title

President

Phone

(209) 232-5846

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Nicole Lee Zertuche, DDS

  • Endodontics
  • Modesto, CA
  • NPI 1346520046
  NPD Authorized official

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1780121624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 TULLY RD STE 20 #516",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500840",
            "telephone_number": "209-232-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TULLY RD STE D3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500852",
            "telephone_number": "209-232-5846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Standiford Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953501038",
            "country_code": "US",
            "telephone_number": "209-526-3815",
            "fax_number": "209-579-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C. N. ZERTUCHE, INC., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "LEE ZERTUCHE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-232-5846"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "60794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Byrd
• Michelle Diane Byrd, BHS II, SUDCC
• John Matthew Bystrom, DC
• Michael Eric Bystrom, DC
• Jamie Byun, MD
• Rosario Caballero-Herrera
• Julissa Caballero, LCSW
• Orestes E. Cabanag, MD
• Savannah Cabano
• Katelyn Jane Cabatian

• Endodontics in Modesto, CA
• Providers in Modesto, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.