NPIMap

Organization Active NPI

Almaz, DDS, PC

Doing business as Boardwalk Dentistry

  • Dental Clinic/Center
  • Granite Bay, CA
National Provider Identifier
1043925746
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALMAZ, DDS, PC
Doing business as
Boardwalk Dentistry
William Gilbert DDS
Practice address
7005 Boardwalk Dr Ste 100
Granite Bay, CA 95746-9203
Phone
(916) 791-4646
Fax
(916) 791-5247
NPI assigned
Jan 17, 2023
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Dr. Elias C Almaz, DDSNPI 1164916102
Title
President
Phone
(916) 791-4646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

7005 Boardwalk Dr Ste 100
Granite Bay, CA 95746-9203

Mailing address

7005 Boardwalk Dr Ste 100
Granite Bay, CA 95746-9203
Phone (916) 791-4646

Other identifiers 1

IdentifierTypeStateIssuer
102579OtherCADENTAL LICENSE

Other names 2

  • Boardwalk Dentistry Doing business as
  • William Gilbert DDS Doing business as

National Provider Directory

National Provider Directory

Locations

7005 Boardwalk Dr
Ste 100
Granite Bay, CA 95746
Phone (916) 791-4646

Practitioners & affiliated clinicians

Practitioners 2

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": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1043925746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 BOARDWALK DR STE 100",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469203",
            "telephone_number": "916-791-4646",
            "fax_number": "916-791-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 BOARDWALK DR STE 100",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469203",
            "telephone_number": "916-791-4646",
            "fax_number": "916-791-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMAZ, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "ALMAZ",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-791-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "102579",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardwalk Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "William Gilbert DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.