Individual provider Active NPI

Nicole Donrad, DDS

  • Dentist
  • San Francisco, CA
National Provider Identifier
1033390091
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56132 Issued in CA
Practice address
2813 Mission St
San Francisco, CA 94110-3907
Phone
(510) 333-8937
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56132 CA Primary

Addresses

Primary practice location

2813 Mission St
San Francisco, CA 94110-3907

Mailing address

34 Villanova LN
Oakland, CA 94611-1166
Phone (510) 333-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913000839 CA Practitioner - Oral Surgery 0648543660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Jul 18, 2017 Accepting new patients
Alameda Health System Current Accepting new patients
Alameda Health System CurrentSince Jul 18, 2017 Accepting new patients

Locations

15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

Interoperability endpoints

  • Direct secure messaging: ndonrad10629@alamedahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1033390091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 VILLANOVA LN",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111166",
            "telephone_number": "510-333-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103907",
            "telephone_number": "510-333-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONRAD",
        "first_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.