Mission Peak Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30917 Issued in CA

Legal business name

MISSION PEAK DENTAL CARE

Practice address

39572 Stevenson PL Ste 227
Fremont, CA 94539-3113

Phone

(510) 790-0590

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Loisel, D.D.S.NPI 1861411886

Title

President

Phone

(510) 790-0590

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Loisel, DDS

  • General Practice Dentistry
  • Tracy, CA
  • NPI 1861411886
  NPD (past) Authorized official
• Karleen Boparai, DMD

  • General Practice Dentistry
  • Concord, CA
  • NPI 1992005946
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1174701304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 227",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393113",
            "telephone_number": "510-790-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 227",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393113",
            "telephone_number": "510-790-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PEAK DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "LOISEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-790-0590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Miranda
• Sahar Miry, PHARMD
• Mission Hills Endodontics, a Dental Practice
• Mission Hills Family Dentistry
• Mission Hospitalist Medical Corporation
• Mission Peak Orthopaedic Medical Group, Inc
• Mission Primary Care LLC
• Mission Surgery Center, Inc.
• Mission Vascular Interventional Group
• Kevin Jeffrey Mitchell, MD

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, 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 Feb 11, 2008; 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.