NPIMap

Organization Active NPI

Sacramento Dentistry Group

  • Exclusive Provider Organization
  • Sacramento, CA
National Provider Identifier
1821480153
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
57798 Issued in CA
Legal business name
SACRAMENTO DENTISTRY GROUP
Practice address
1105 E St
Sacramento, CA 95814-0818
Phone
(916) 538-6900
Fax
(916) 538-6875
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Mariana Romo
Title
Office Manager
Phone
(916) 538-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 57798 CA Primary

Addresses

Primary practice location

1105 E St
Sacramento, CA 95814-0818

Mailing address

1105 E St
Sacramento, CA 95814-0818
Phone (916) 538-6900

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1821480153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958140818",
            "telephone_number": "916-538-6900",
            "fax_number": "916-538-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958140818",
            "telephone_number": "916-538-6900",
            "fax_number": "916-538-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO DENTISTRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-538-6900"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "57798",
            "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 Feb 24, 2015; 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.