Organization Active NPI

John M Nakhla DDS, Inc

Doing business as Castro Valley Family Dentistry

  • General Practice Dentistry
  • Castro Valley, CA
National Provider Identifier
1093162935
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN M NAKHLA DDS, INC
Doing business as
Castro Valley Family Dentistry
Practice address
20099 Redwood Rd
Castro Valley, CA 94546-4326
Phone
(510) 881-1611
Fax
(510) 881-0254
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Dr. John Nakhla, DDS
Title
Owner/Dentist
Phone
(510) 881-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 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

Other names 1

  • Castro Valley Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

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

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": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1093162935",
    "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",
            "fax_number": "510-881-0254"
        },
        {
            "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",
            "fax_number": "510-881-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M NAKHLA DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "NAKHLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "510-881-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castro Valley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 20, 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.