Individual provider Active NPI

Cassidy Migan Lavorini-Doyle, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Oakland, CA
National Provider Identifier
1144457268
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
62367 Issued in CA
Practice address
363 15TH St
Oakland, CA 94612-3303
Phone
(510) 444-4334
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 62367 CA Primary

Addresses

Primary practice location

363 15TH St
Oakland, CA 94612-3303

Mailing address

525 Mandana Blvd
Apt 311
Oakland, CA 94610-2260
Phone (925) 963-3660

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
62367CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ernie S. Lavorini, DDS, Inc Past Accepting new patients
S H Hokmabadi Dental Office Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1144457268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MANDANA BLVD",
            "address_2": "APT 311",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102260",
            "telephone_number": "925-963-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 15TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123303",
            "telephone_number": "510-444-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVORINI-DOYLE",
        "first_name": "CASSIDY",
        "middle_name": "MIGAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "62367",
            "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 3, 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.