NPIMap

Organization Active NPI

R. Ciccarelli, DDS., R. Joseph, DDS., M. El Farra, DDS., D. Saini, DDS

  • Dentist
  • Manteca, CA
National Provider Identifier
1891853149
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28362 Issued in CA
Legal business name
R. CICCARELLI, DDS., R. JOSEPH, DDS., M. EL FARRA, DDS., D. SAINI, DDS
Practice address
1507 W. Yosemite
Manteca, CA 95337
Phone
(209) 823-9341
Fax
(209) 823-5091
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Bonnie J Morehead, DDSNPI 1811339682
Title
Corporate Treasurer
Phone
(209) 823-9341

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 11

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 28362 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 53028 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 50181 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 54048 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 35699 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 42922 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 51062 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 26998 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 34614 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 38406 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 59209 CA

Addresses

Primary practice location

1507 W. Yosemite
Manteca, CA 95337

Mailing address

1507 W. Yosemite
Manteca, CA 95337
Phone (209) 823-9341

Other names 1

  • M. Hochhalter, DDS., B. Morehead, DDS., M Bledsoe, DDS, Inc DBA Valley Former legal business name

National Provider Directory

National Provider Directory

Locations

1507 W Yosemite Ave
Manteca, CA 95337
Phone (209) 823-9341

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1891853149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W. YOSEMITE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95337",
            "telephone_number": "209-823-9341",
            "fax_number": "209-823-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W. YOSEMITE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95337",
            "telephone_number": "209-823-9341",
            "fax_number": "209-823-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. CICCARELLI, DDS., R. JOSEPH, DDS., M. EL FARRA, DDS., D. SAINI, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MOREHEAD",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE TREASURER",
        "authorized_official_telephone_number": "209-823-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "28362",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53028",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50181",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54048",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35699",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "42922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51062",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "26998",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "34614",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38406",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M. Hochhalter, DDS., B. Morehead, DDS., M Bledsoe, DDS, Inc DBA Valley",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.