NPIMap

Organization Active NPI

Tri Valley Dental Care, Inc

  • Dentist
  • Dublin, CA
National Provider Identifier
1851838510
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
B38615 Issued in CA
Legal business name
TRI VALLEY DENTAL CARE, INC
Practice address
6366 Clark Ave
Dublin, CA 94568-3036
Phone
(925) 803-9888
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Scott TingNPI 1174636856
Title
Dentist
Phone
(925) 803-9888

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X B38615 CA Primary

Addresses

Primary practice location

6366 Clark Ave
Dublin, CA 94568-3036

Mailing address

6366 Clark Ave
Dublin, CA 94568-3036
Phone (925) 803-9888

Other names 1

  • Stoneridge Dental Care, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

6366 Clark Ave
Dublin, CA 94568
Phone (925) 803-9888

Practitioners & affiliated clinicians

Practitioners 2

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": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1851838510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6366 CLARK AVE",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683036",
            "telephone_number": "925-803-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6366 CLARK AVE",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683036",
            "telephone_number": "925-803-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI VALLEY DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-803-9888"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "B38615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoneridge Dental Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.