Organization Active NPI

Hector M. Fernandez, D.D.S., Inc.

  • General Practice Dentistry
  • Gold River, CA
National Provider Identifier
1801993076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38520 Issued in CA
Legal business name
HECTOR M. FERNANDEZ, D.D.S., INC.
Practice address
11230 Gold Express Dr
Suite 306
Gold River, CA 95670-4484
Phone
(916) 852-7660
Fax
(916) 852-7694
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Hector Manuel Fernandez, DDSNPI 1740692029
Title
Ceo Dentist
Phone
(916) 852-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38520 CA Primary

Addresses

Primary practice location

11230 Gold Express Dr
Suite 306
Gold River, CA 95670-4484

Mailing address

11230 Gold Express Dr
Suite 306
Gold River, CA 95670-4484
Phone (916) 852-7660

National Provider Directory

National Provider Directory

Locations

11230 Gold Express Dr
Ste 306
Gold River, CA 95670
Phone (916) 852-7660

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801993076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 GOLD EXPRESS DR",
            "address_2": "SUITE 306",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704484",
            "telephone_number": "916-852-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 GOLD EXPRESS DR",
            "address_2": "SUITE 306",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704484",
            "telephone_number": "916-852-7660",
            "fax_number": "916-852-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR M. FERNANDEZ, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "CEO DENTIST",
        "authorized_official_telephone_number": "916-852-7660",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold River, 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.