Emmanuel Osorio, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

55707 Issued in CA

Legal business name

EMMANUEL OSORIO, DDS, INC.

Practice address

5423 San Juan Ave
Citrus Heights, CA 95610-7418

Phone

(916) 962-1200

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Osorio, D.D.S.

Title

President

Phone

(916) 962-1200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1841515319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 SAN JUAN AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107418",
            "telephone_number": "916-962-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 SAN JUAN AVE",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107418",
            "telephone_number": "916-962-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL OSORIO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-962-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Sofia Elkin Rubin
• Matthew Elkins
• Rachael Elliot Boykin, CFLE
• Lisa Ann Elliott
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• Dentist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.