Organization Active NPI

Estrella C Trindad DMD Inc

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1801966312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45045 Issued in CA
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

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
Estrella Callejo Trinidad, DMD
Title
President
Phone
(510) 793-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
D4504501OtherCADENTI CAL

Other names 1

  • Thornton Dental Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.