Individual provider Active NPI

Eugene G Field, D.D.S

  • Dentist
  • Santa Rosa, CA
National Provider Identifier
1093988503
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30068 Issued in CA
Practice address
2360 Mendocino Ave
Suit a-6
Santa-Rosa, CA 95403
Phone
(707) 568-1436
Fax
(707) 568-1483
NPI assigned
Apr 4, 2008
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30068 CA Primary

Addresses

Primary practice location

2360 Mendocino Ave
Suit a-6
Santa-Rosa, CA 95403

Mailing address

3260 Mendocino Ave
Suite a-6
Santa-Rosa, CA 95403
Phone (707) 568-1436

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Dental Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1093988503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 MENDOCINO AVE",
            "address_2": "SUITE A-6",
            "city": "SANTA-ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-568-1436",
            "fax_number": "707-568-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MENDOCINO AVE",
            "address_2": "SUIT A-6",
            "city": "SANTA-ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-568-1436",
            "fax_number": "707-568-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELD",
        "first_name": "EUGENE",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "30068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.