Organization Active NPI

Friz J Diaz, DDS, Inc.

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1962878033
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44669 Issued in CA
Legal business name
FRIZ J DIAZ, DDS, INC.
Practice address
77 Cadillac Dr
Suite 165
Sacramento, CA 95825-5453
Phone
(916) 480-0522
Fax
(916) 480-0524
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Merwin Diaz
Title
Office Manager
Phone
(916) 480-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44669 CA Primary

Addresses

Primary practice location

77 Cadillac Dr
Suite 165
Sacramento, CA 95825-5453

Mailing address

77 Cadillac Dr
Suite 165
Sacramento, CA 95825-5453
Phone (916) 480-0522

Other identifiers 1

IdentifierTypeStateIssuer
G92052-01OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

77 Cadillac Dr
Ste 165
Sacramento, CA 95825
Phone (916) 480-0522

Practitioners & affiliated clinicians

Practitioners 1

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": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1962878033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 165",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-480-0522",
            "fax_number": "916-480-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CADILLAC DR",
            "address_2": "SUITE 165",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255453",
            "telephone_number": "916-480-0522",
            "fax_number": "916-480-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIZ J DIAZ, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MERWIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-480-0522"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "G92052-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 12, 2015; 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.