NPIMap

Organization Active NPI

Kelvin Auyoung DDS Inc

  • Dentist
  • Oakland, CA
National Provider Identifier
1013075399
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39750 Issued in CA
Legal business name
KELVIN AUYOUNG DDS INC
Practice address
388 Ninth Street
Suite #206
Oakland, CA 94607
Phone
(510) 836-0888
Fax
(510) 836-0889
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Kelvin S Auyoung, DDS
Title
Owner
Phone
(510) 836-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39750 CA Primary

Addresses

Primary practice location

388 Ninth Street
Suite #206
Oakland, CA 94607

Mailing address

388 Ninth Street
Suite #206
Oakland, CA 94607
Phone (510) 836-0888

National Provider Directory

National Provider Directory

Locations

388 9th St
Ste 206
Oakland, CA 94607
Phone (510) 836-0888

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1013075399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 NINTH STREET",
            "address_2": "SUITE #206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-836-0888",
            "fax_number": "510-836-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 NINTH STREET",
            "address_2": "SUITE #206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-836-0888",
            "fax_number": "510-836-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN AUYOUNG DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "AUYOUNG",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-836-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.