Blackhawk Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BLACKHAWK DENTAL GROUP

Practice address

3880 Blackhawk Rd Ste 100
Danville, CA 94506-4692

Phone

(925) 736-3600

Fax

(925) 736-4327

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Tefft

Title

Practice Administrator

Phone

(925) 736-3600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Jarvis, DDS

  • General Practice Dentistry
  • Danville, CA
  • NPI 1285748244
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1093398141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 BLACKHAWK RD STE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064692",
            "telephone_number": "925-736-3600",
            "fax_number": "925-736-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 BLACKHAWK RD STE 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064692",
            "telephone_number": "925-736-3600",
            "fax_number": "925-736-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "TEFFT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "925-736-3600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierza Lynne Bernard, R.D.
• Best of Health Apc
• Tina Bhateja, PHARMD
• Tamar Binyamin
• Elizabeth Leslie Black, LMFT, PH.D.
• Blackhawk Medical Group, Inc
• Blackhawk Plastic Surgery, a Medical Corp.
• Blackhawk Surgery Center, a Medical Corp.
• Leslie A Blinn, PHARM. D.
• Charlene Boatright, FNP

• General Practice Dentistry in Danville, CA
• Providers in Danville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.