Organization Active NPI

Curtis Dental

  • Preferred Provider Organization
  • Sacramento, CA
National Provider Identifier
1821287988
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
40536 Issued in CA
Legal business name
CURTIS DENTAL
Practice address
1355 Florin Rd Ste 18
Sacramento, CA 95822-4244
Phone
(916) 391-1161
Fax
(916) 391-1164
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Ms. Shelly D. Cofresi
Title
Office Manager
Phone
(916) 391-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 40536 CA Primary

Addresses

Primary practice location

1355 Florin Rd Ste 18
Sacramento, CA 95822-4244

Mailing address

1355 Florin Rd Ste 18
Sacramento, CA 95822-4244
Phone (916) 391-1161

National Provider Directory

National Provider Directory

Locations

1355 Florin Rd
Ste 18
Sacramento, CA 95822
Phone (916) 391-1161

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1821287988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 FLORIN RD STE 18",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224244",
            "telephone_number": "916-391-1161",
            "fax_number": "916-391-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 FLORIN RD STE 18",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224244",
            "telephone_number": "916-391-1161",
            "fax_number": "916-391-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "COFRESI",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-391-1161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "40536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 2007; 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.