Active NPI
Pierre Henri Lacrampe, DMD
- Dentist
- San Ramon, CA
National Provider Identifier
1194918847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30802
- Practice address
- 525 Bollinger Canyon Way
Suite 104
San Ramon, CA 94582 - Phone
- (925) 735-7420
- Fax
- (925) 735-9315
- NPI assigned
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30802 | CA | Primary |
Addresses
Primary practice location
525 Bollinger Canyon Way
Suite 104
San Ramon, CA 94582
Mailing address
525 Bollinger Canyon Way
Suite 104
San Ramon, CA 94582
Phone (925) 735-7420
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30802 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1194918847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 BOLLINGER CANYON WAY",
"address_2": "SUITE 104",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94582",
"telephone_number": "925-735-7420",
"fax_number": "925-735-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 BOLLINGER CANYON WAY",
"address_2": "SUITE 104",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94582",
"telephone_number": "925-735-7420",
"fax_number": "925-735-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACRAMPE",
"first_name": "PIERRE",
"middle_name": "HENRI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "30802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.