Organization Active NPI

Daniel S Nam, DDS, Inc

  • Dentist
  • Oakland, CA
National Provider Identifier
1124486758
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50328 Issued in CA
Legal business name
DANIEL S NAM, DDS, INC
Practice address
2976 Summit St
Suite 201
Oakland, CA 94609-3405
Phone
(510) 451-8315
Fax
(510) 663-5833
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Daniel S Nam, DDS
Title
Ceo/Dentist
Phone
(510) 451-8315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50328 CA Primary

Addresses

Primary practice location

2976 Summit St
Suite 201
Oakland, CA 94609-3405

Mailing address

2976 Summit St
Suite 201
Oakland, CA 94609-3405
Phone (510) 451-8315

National Provider Directory

National Provider Directory

Locations

2976 Summit St
Ste 201
Oakland, CA 94609
Phone (510) 451-8315

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1124486758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 SUMMIT ST",
            "address_2": "SUITE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093405",
            "telephone_number": "510-451-8315",
            "fax_number": "510-663-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 SUMMIT ST",
            "address_2": "SUITE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093405",
            "telephone_number": "510-451-8315",
            "fax_number": "510-663-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S NAM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "510-451-8315",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.