Organization Active NPI

Lawrence E. Porteous DDS

  • General Practice Dentistry
  • Danville, CA
National Provider Identifier
1174699789
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29191 Issued in CA
Legal business name
LAWRENCE E. PORTEOUS DDS
Practice address
3840 Blackhawk Rd
Suite 110
Danville, CA 94506-4900
Phone
(925) 736-9000
Fax
(925) 736-9024
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Lawrence Eric Porteous
Title
Dentist
Phone
(925) 736-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29191 CA Primary

Addresses

Primary practice location

3840 Blackhawk Rd
Suite 110
Danville, CA 94506-4900

Mailing address

3840 Blackhawk Rd
Suite 110
Danville, CA 94506-4900
Phone (925) 736-9000

National Provider Directory

National Provider Directory

Locations

3840 Blackhawk Rd
Ste 110
Danville, CA 94506
Phone (925) 736-9000

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": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1174699789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 BLACKHAWK RD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064900",
            "telephone_number": "925-736-9000",
            "fax_number": "925-736-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 BLACKHAWK RD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064900",
            "telephone_number": "925-736-9000",
            "fax_number": "925-736-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE E. PORTEOUS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "PORTEOUS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-736-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.