NPIMap

Organization Active NPI

Fallon Dental Group

  • Dentist
  • Dublin, CA
National Provider Identifier
1053867622
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS100543 Issued in CA
Legal business name
FALLON DENTAL GROUP
Practice address
3746 Fallon Rd
Fallon Gateway
Dublin, CA 94568
Phone
(925) 803-0100
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Dr. Azita Kabiri, DDSNPI 1174073704
Title
Dentist
Phone
(925) 206-0735

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
Dentist 122300000X DDS100543 CA Primary

Addresses

Primary practice location

3746 Fallon Rd
Fallon Gateway
Dublin, CA 94568

Mailing address

4284 Diavila Ave
Pleasanton, CA 94588-8373
Phone (925) 206-0735

National Provider Directory

National Provider Directory

Locations

3746 Fallon Rd
Dublin, CA 94568
Phone (617) 636-6828

Practitioners & affiliated clinicians

Practitioners 6

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1053867622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 DIAVILA AVE",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888373",
            "telephone_number": "925-206-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 FALLON RD",
            "address_2": "FALLON GATEWAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568",
            "telephone_number": "925-803-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "KABIRI",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-206-0735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.