Grace Min, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS56845 Issued in CA

Practice address

8211 Bruceville Rd Ste 155
Sacramento, CA 95823-2313

Phone

(916) 525-7635

NPI assigned

Dec 13, 2006

Last updated

Dec 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Min Dental Corporation

  dba Strawberry Creek Dental Group

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1881884724
  NPD (past) Authorized official
• 42 North Dental Care, LLC

  dba Gentle Dental Jamaica Plain

  • Dental Clinic/Center
  • Jamaica Plain, MA
  • NPI 1467721126
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1881755791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 WINDING CREEK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958641665",
            "telephone_number": "617-835-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 BRUCEVILLE RD STE 155",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232313",
            "telephone_number": "916-525-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS56845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Milton
• Madelyn Gay Milton, PA-C
• Tiffany Rose Mimms, PH.D.
• Min Dental Corporation (Strawberry Creek Dental Group)
• Deborah S Min, APCC
• Hoki Min, MD
• Justin Alexander Mina, RBT
• Midori Minabe, D.D.S.
• Lusine Minasyan
• Morgan Rose Minch, PA-S1

• General Practice Dentistry in Sacramento, CA
• Providers in Sacramento, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.