NPIMap

Organization Active NPI

Robert L Muckey a Professional Corp

Doing business as DenCare Dental Group

  • Dentist
  • Sacramento, CA
National Provider Identifier
1801957311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21393 Issued in CA
Legal business name
ROBERT L MUCKEY A PROFESSIONAL CORP
Doing business as
DenCare Dental Group
Practice address
7171 Bowling Drive
Suite 240
Sacramento, CA 95823-2034
Phone
(916) 392-7874
Fax
(916) 392-0614
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert L Mackay, DDS
Title
Director
Phone
(916) 392-7874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21393 CA Primary

Addresses

Primary practice location

7171 Bowling Drive
Suite 240
Sacramento, CA 95823-2034

Mailing address

7171 Bowling Drive
Suite 240
Sacramento, CA 95823-2034
Phone (916) 392-7874

Other names 1

  • DenCare Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801957311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 BOWLING DRIVE",
            "address_2": "SUITE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232034",
            "telephone_number": "916-392-7874",
            "fax_number": "916-392-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 BOWLING DRIVE",
            "address_2": "SUITE 240",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232034",
            "telephone_number": "916-392-7874",
            "fax_number": "916-392-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L MUCKEY A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-392-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "21393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DenCare Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.