Active NPI
Tiziana Procopio Towle, DDS 48391 DENTIST
- General Practice Dentistry
- Walnut Creek, CA
National Provider Identifier
1093104804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48391
- Practice address
- 2229 Olympic Blvd
Walnut Creek, CA 94595 - Phone
- (925) 933-5677
- NPI assigned
- Jan 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48391 | CA | Primary |
Addresses
Primary practice location
2229 Olympic Blvd
Walnut Creek, CA 94595
Mailing address
2229 Olympic Blvd
Walnut Creek, CA 94595
Phone (925) 933-5677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48391 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421366400000",
"number": "1093104804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 OLYMPIC BLVD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94595",
"telephone_number": "925-933-5677",
"fax_number": "925-939-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 OLYMPIC BLVD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94595",
"telephone_number": "925-933-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWLE",
"first_name": "TIZIANA",
"middle_name": "PROCOPIO",
"name_prefix": "Dr.",
"credential": "DDS 48391 DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-16",
"last_updated": "2015-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.