Snow Tehachapi Dental Office Incorporated

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

SNOW TEHACHAPI DENTAL OFFICE INCORPORATED

Practice address

20878 Sage LN
Tehachapi, CA 93561-6423

Phone

(661) 822-4861

NPI assigned

Jan 7, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Leonor Pineda

Title

Insurance Coordinator

Phone

(661) 450-0116

Specialties & licenses 1

Addresses

Other names 1

• SNOW TEHACHAPI DENTAL OFFICE INCORPORATED Former legal business name

Electronic endpoints 1

Practitioners 2

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

• Linda Tekaat Wells, D.D.S.

  • General Practice Dentistry
  • Tehachapi, CA
  • NPI 1164518817
  NPD (past)
• Rick Dale Wells, D.D.S.

  • General Practice Dentistry
  • Tehachapi, CA
  • NPI 1154417897
  NPD (past)

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1902494602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 AUTO CENTER DR STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514691",
            "telephone_number": "661-450-0116",
            "fax_number": "661-273-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20878 SAGE LN",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935616423",
            "telephone_number": "661-822-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW TEHACHAPI DENTAL OFFICE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "LEONOR",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "661-450-0116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "adammurren",
            "affiliation": "Y",
            "affiliationName": "Gilbert H. Snow DDS Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "868 Auto Center Dr Ste C",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935514691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SNOW TEHACHAPI DENTAL OFFICE INCORPORATED",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Public Health Dentistry in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.