Elias Almaz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102579 Issued in CA

Practice address

7005 Boardwalk Dr # 100
Granite Bay, CA 95746-9200

Phone

(916) 791-4646

NPI assigned

Jun 21, 2018

Last updated

Oct 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Almaz, DDS, PC

  dba Boardwalk Dentistry

  • Dental Clinic/Center
  • Granite Bay, CA
  • NPI 1043925746
  NPD Authorized official

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1164916102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 BOARDWALK DR # 100",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 BOARDWALK DR # 100",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469200",
            "telephone_number": "916-791-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMAZ",
        "first_name": "ELIAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shafeen Ali
• Emily R Allen
• Tonya Allen
• Natalie Allred
• Almaz, DDS, PC (Boardwalk Dentistry)
• Sarathy S Amanjee, DDS
• Arturo Anaya Servin Jr.
• Andrekgbortho Ingersoll Dental Corporation
• Haley Annis
• Shelby Anuszczyk

• General Practice Dentistry in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.