NPIMap

Organization Active NPI

Rose Magno DDS Emeryville Dental Care

  • General Practice Dentistry
  • Emeryville, CA
National Provider Identifier
1114061363
Registry record updated Jul 28, 2008
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42177 Issued in CA
Legal business name
ROSE MAGNO DDS EMERYVILLE DENTAL CARE
Practice address
6001 Shellmound St
# 125
Emeryville, CA 94608
Phone
(510) 595-1900
Fax
(510) 594-8900
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Rose Magno, DDS
Title
Dentist
Phone
(510) 373-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42177 CA Primary

Addresses

Primary practice location

6001 Shellmound St
# 125
Emeryville, CA 94608

Mailing address

PO Box 1496
Alameda, CA 94501
Phone (510) 373-5400

National Provider Directory

National Provider Directory

Locations

6001 Shellmound St
Ste 125
Emeryville, CA 94608
Phone (510) 595-1600

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1114061363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1496",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-373-5400",
            "fax_number": "510-373-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 SHELLMOUND ST",
            "address_2": "# 125",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-595-1900",
            "fax_number": "510-594-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MAGNO DDS EMERYVILLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "MAGNO",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-373-5400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.