Individual provider Active NPI

Geoffrey Eugene Uhrik, DDS

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1922157130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23053 Issued in CA
Practice address
3300 Tully Rd Ste A6
Modesto, CA 95350-0847
Phone
(209) 521-5435
Fax
(209) 521-4160
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23053 CA Primary

Addresses

Primary practice location

3300 Tully Rd Ste A6
Modesto, CA 95350-0847

Mailing address

2430 Torrid Ave
Modesto, CA 95358-1214
Phone (209) 521-5435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922157130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 TORRID AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953581214",
            "telephone_number": "209-521-5435",
            "fax_number": "209-521-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TULLY RD STE A6",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500847",
            "telephone_number": "209-521-5435",
            "fax_number": "209-521-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHRIK",
        "first_name": "GEOFFREY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.