NPIMap

Organization Active NPI

Bruce Ahtye DDS

  • Dental Clinic/Center
  • Castro Valley, CA
National Provider Identifier
1053720128
Registry record updated Aug 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
46564 Issued in CA
Legal business name
BRUCE AHTYE DDS
Practice address
20099 Redwood Rd
Castro Valley, CA 94546-4326
Phone
(510) 881-1611
NPI assigned
Aug 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2014

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

Authorized official

Name
Bruce Ahtye, DDSNPI 1528147600
Title
Owner
Phone
(510) 881-1611

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 46564 CA Primary

Addresses

Primary practice location

20099 Redwood Rd
Castro Valley, CA 94546-4326

Mailing address

20099 Redwood Rd
Castro Valley, CA 94546-4326
Phone (510) 881-1611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1407024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407024000000",
    "number": "1053720128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20099 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464326",
            "telephone_number": "510-881-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20099 REDWOOD RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464326",
            "telephone_number": "510-881-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE AHTYE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-03",
        "last_updated": "2014-08-03",
        "status": "A",
        "authorized_official_last_name": "AHTYE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-881-1611",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2014; 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.