NPIMap

Organization Active NPI

Mencita Dabu Masangkay DMD Inc.

  • Point of Service
  • Hercules, CA
National Provider Identifier
1023207149
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
44028 Issued in CA
Legal business name
MENCITA DABU MASANGKAY DMD INC.
Practice address
500 Alfred Nobel Dr Ste 145
Hercules, CA 94547-1839
Phone
(510) 741-7788
Fax
(519) 741-7705
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Mencita Dabu Masangkay, DMD
Title
Dent/Ownerist
Phone
(510) 741-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 44028 CA Primary

Addresses

Primary practice location

500 Alfred Nobel Dr Ste 145
Hercules, CA 94547-1839

Mailing address

500 Alfred Nobel Dr Ste 145
Hercules, CA 94547-1839
Phone (510) 741-7788

Other identifiers 2

IdentifierTypeStateIssuer
G93406-01OtherCADENTICAL PROVIDER ID
522631OtherCADENTICAL PIN

National Provider Directory

National Provider Directory
Tax ID family
Mencita Dabu Masangkay DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Alfred Nobel Dr
Ste 145
Hercules, CA 94547
Phone (510) 672-1770

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1023207149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 145",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471839",
            "telephone_number": "510-741-7788",
            "fax_number": "519-741-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALFRED NOBEL DR STE 145",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471839",
            "telephone_number": "510-741-7788",
            "fax_number": "519-741-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENCITA DABU MASANGKAY DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MASANGKAY",
        "authorized_official_first_name": "MENCITA",
        "authorized_official_middle_name": "DABU",
        "authorized_official_title_or_position": "DENT/OWNERIST",
        "authorized_official_telephone_number": "510-741-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "44028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER ID",
            "identifier": "G93406-01",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PIN",
            "identifier": "522631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.