Organization Active NPI

Nachiket J. Dave DDS, Inc

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1134510654
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50236 Issued in CA
Legal business name
NACHIKET J. DAVE DDS, INC
Practice address
39489 Fremont Blvd.
Fremont, CA 94438
Phone
(510) 770-0393
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Nachiket J. Dave, D.D.S.
Title
President
Phone
(510) 862-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 50236 CA Primary

Addresses

Primary practice location

39489 Fremont Blvd.
Fremont, CA 94438

Mailing address

39489 Fremont Blvd.
Fremont, CA 94438
Phone (510) 770-0393

National Provider Directory

National Provider Directory

Locations

39489 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-0393

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": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1134510654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39489 FREMONT BLVD.",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94438",
            "telephone_number": "510-770-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39489 FREMONT BLVD.",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94438",
            "telephone_number": "510-770-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NACHIKET J. DAVE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "NACHIKET",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-862-1881",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.