Organization Active NPI

Gaiduchik Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carmichael, CA
National Provider Identifier
1811459332
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GAIDUCHIK DENTAL CORP
Practice address
5740 Windmill Way Ste 16
Carmichael, CA 95608-1379
Phone
(916) 331-0841
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Andrey Gaiduchik, DDS, MSNPI 1144688532
Title
President
Phone
(916) 396-8329

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

5740 Windmill Way Ste 16
Carmichael, CA 95608-1379

Mailing address

1521 E St
Sacramento, CA 95814-1604
Phone (916) 444-6482

Other practice location 1

1350 W Robinhood Dr Ste 20
Stockton, CA 95207-5519
Phone (209) 477-6700

National Provider Directory

National Provider Directory

Locations

5740 Windmill Way
Ste 16
Carmichael, CA 95608
Phone (916) 331-0841

1521 E St
Sacramento, CA 95814

Practitioners & affiliated clinicians

Practitioners 1

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": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1811459332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141604",
            "telephone_number": "916-444-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY STE 16",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "916-331-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 W Robinhood Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952075519",
            "country_code": "US",
            "telephone_number": "209-477-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAIDUCHIK DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "GAIDUCHIK",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-396-8329",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.