Elsemary and Salem Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELSEMARY AND SALEM DENTAL CORPORATION

Doing business as

Woodland Kids Dentistry and Orthodontics

Practice address

249 California St Ste 6
Woodland, CA 95695-2910

Phone

(530) 490-5437

Fax

(916) 897-9265

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Veronica Cortes

Title

Manager

Phone

(530) 490-5437

Specialties & licenses 1

Addresses

Other names 1

• Woodland Kids Dentistry and Orthodontics Doing business as

Tax ID family

Elsemary and Salem Dental Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Elsemary and Salem Dental Corporation

  • Dental Clinic/Center
  • Elk Grove, CA
  • NPI 1649721515
  NPD tax ID
• Elsemary and Salem Dental Corporation

  • General Practice Dentistry
  • Elk Grove, CA
  • NPI 1679911473
  NPD tax ID

Locations

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1851987549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 BLANSFIELD WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 CALIFORNIA ST STE 6",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952910",
            "telephone_number": "530-490-5437",
            "fax_number": "916-897-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSEMARY AND SALEM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-490-5437"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Kids Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Autumn Eckrich-Gaub, FNP-C
• Ecombytj LLC
• Arish Yazdi Eduljee, MD
• John M Edwards
• Josefina Trujillo Elliott
• Suzanne H Emam, MSW, LCSW
• Lucy Embrescia
• Walter Ian England
• Carlos Fabian Enriquez
• Dominic M Erba, M.D.

• Dental Clinic/Center in Woodland, CA
• Providers in Woodland, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.