Organization Active NPI

Ellie Strasser DDS Inc

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1114708484
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELLIE STRASSER DDS INC
Practice address
3436 Hillcrest Ave Ste 150
Antioch, CA 94531-6305
Phone
(925) 303-2615
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Dr. Elham Strasser, DDS
Title
Dentist
Phone
(415) 250-9501

Specialties & licenses 1

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

Addresses

Primary practice location

3436 Hillcrest Ave Ste 150
Antioch, CA 94531-6305

Mailing address

49 Birch Ave
Corte Madera, CA 94925-1054

Other names 1

  • DIABLO DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

3436 Hillcrest Ave
Ste 150
Antioch, CA 94531
Phone (925) 303-2615

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1114708484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 BIRCH AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 HILLCREST AVE STE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316305",
            "telephone_number": "925-303-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE STRASSER DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "STRASSER",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-250-9501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIABLO DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.