Daisy G. Ison, D.M.D., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34120 Issued in CA

Legal business name

DAISY G. ISON, D.M.D., INC.

Practice address

5345 N El Dorado St
Suite 2
Stockton, CA 95207-5872

Phone

(209) 952-2933

Fax

(209) 952-2271

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daisy Gonzaga Ison, DDS

Title

Dentist

Phone

(209) 952-2933

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Daisy G Ison DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daisy G. Ison, D.M.D., Inc.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1144370214
  NPD tax ID

Locations

Practitioners 1

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

• Diana Furukawa

  • Dentist
  • Stockton, CA
  • NPI 1245683861
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093865610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 N EL DORADO ST",
            "address_2": "SUITE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075872",
            "telephone_number": "209-952-2933",
            "fax_number": "209-952-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 N EL DORADO ST",
            "address_2": "SUITE 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075872",
            "telephone_number": "209-952-2933",
            "fax_number": "209-952-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY G. ISON, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISON",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "GONZAGA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-952-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1615122",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "542-42856",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "B34120-02",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1B0K9G",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahmoud H Daher, D.P.T
• Tessa Christine Dahl, M.A., ATC
• Alexis Rose Dahley
• Tiffanie Dai, FNP
• Shelia Berneadette Daigle-Beaird
• Daisy Li, DO, Inc.
• Sammy Dajani
• Latonya Dale
• Jane Ojales Dalisay, DO
• Amanda Nicole Dallas

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, 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 Aug 22, 2020; 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.