Active NPI
Estrella C Trindad DMD Inc
- General Practice Dentistry
- Fremont, CA
National Provider Identifier
1801966312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45045
- Legal business name
- ESTRELLA C TRINDAD DMD INC
- Doing business as
- Thornton Dental
- Practice address
- 4364 Thorton Avenue
Fremont, CA 94536 - Phone
- (510) 793-8121
- Fax
- (510) 793-8210
- NPI assigned
- Nov 9, 2006
- 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
- Estrella Callejo Trinidad, DMD
- Title
- President
- Phone
- (510) 793-8121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 45045 | CA | Primary |
Addresses
Primary practice location
4364 Thorton Avenue
Fremont, CA 94536
Mailing address
4364 Thorton Avenue
Fremont, CA 94536
Phone (510) 793-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4504501 | Other | CA | DENTI CAL |
Other names 1
- Thornton Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801966312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4364 THORTON AVENUE",
"city": "FREMONT",
"state": "CA",
"postal_code": "94536",
"telephone_number": "510-793-8121",
"fax_number": "510-793-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4364 THORTON AVENUE",
"city": "FREMONT",
"state": "CA",
"postal_code": "94536",
"telephone_number": "510-793-8121",
"fax_number": "510-793-8210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTRELLA C TRINDAD DMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRINIDAD",
"authorized_official_first_name": "ESTRELLA",
"authorized_official_middle_name": "CALLEJO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-793-8121",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI CAL",
"identifier": "D4504501",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thornton Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fremont, 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.