Daniel S Adelman, DDS
Individual provider Active NPI Dentist · Berkeley, CA
NPI 1093897159 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093897159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 23164 (CA)
- Practice address
- 2459 Ashby Ave
Berkeley, CA 94705 - Phone
- (510) 548-4567
- Fax
- (510) 548-4568
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 23164 | CA | Yes |
Addresses
Primary practice location
2459 Ashby Ave
Berkeley, CA 94705
Mailing address
2459 Ashby Ave
Berkeley, CA 94705
Phone (510) 548-4567
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.