NPIMap

Organization Active NPI

Min Dental Corporation

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1881884724
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MIN DENTAL CORPORATION
Doing business as
Strawberry Creek Dental Group
Practice address
8211 Bruceville Rd
Suite 155
Sacramento, CA 95823-2357
Phone
(916) 525-7635
Fax
(916) 681-4752
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Grace H Min, DMDNPI 1881755791
Title
Owner Doctor
Phone
(916) 525-7635

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8211 Bruceville Rd
Suite 155
Sacramento, CA 95823-2357

Mailing address

2860 Michelle Drive
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2077

Other names 1

  • Strawberry Creek Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

8211 Bruceville Rd
Ste 155
Sacramento, CA 95823
Phone (916) 500-2391

Practitioners & affiliated clinicians

Practitioners 12

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": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1881884724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE DRIVE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 BRUCEVILLE RD",
            "address_2": "SUITE 155",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232357",
            "telephone_number": "916-525-7635",
            "fax_number": "916-681-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "916-525-7635",
        "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": "Strawberry Creek Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.