Organization Active NPI

Tracy Family Dental Center

  • General Practice Dentistry
  • Tracy, CA
National Provider Identifier
1922214337
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36711 Issued in CA
Legal business name
TRACY FAMILY DENTAL CENTER
Practice address
945 Central Ave
Tracy, CA 95376-3950
Phone
(209) 836-0443
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Trinh-Mai Ngoc Vo, D.D.S.
Title
Partner
Phone
(209) 836-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 36711 CA Primary

Addresses

Primary practice location

945 Central Ave
Tracy, CA 95376-3950

Mailing address

945 Central Ave
Tracy, CA 95376-3950
Phone (209) 836-0443

National Provider Directory

National Provider Directory

Locations

945 N Central Ave
Tracy, CA 95376
Phone (209) 836-0443

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922214337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CENTRAL AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763950",
            "telephone_number": "209-836-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 CENTRAL AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763950",
            "telephone_number": "209-836-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TRINH-MAI",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-836-0443",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.