NPIMap

Organization Active NPI

Erick N. Cuenca DMD Inc

Doing business as Tracy Dental

  • General Practice Dentistry
  • Tracy, CA
National Provider Identifier
1861602948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ERICK N. CUENCA DMD INC
Doing business as
Tracy Dental
Practice address
2135 N Tracy Blvd
Tracy, CA 95376-2424
Phone
(209) 836-4950
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Erick N Cuenca, DMD
Title
Owner
Phone
(209) 836-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2135 N Tracy Blvd
Tracy, CA 95376-2424

Mailing address

2135 N Tracy Blvd
Tracy, CA 95376-2424
Phone (209) 836-4950

Other names 1

  • Tracy Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Erick N Cuenca DMD Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

2135 N Tracy Blvd
Tracy, CA 95376
Phone (209) 636-5555

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861602948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762424",
            "telephone_number": "209-836-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762424",
            "telephone_number": "209-836-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICK N. CUENCA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUENCA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-836-4950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.