Individual provider Active NPI

Filippo Cangini, DDS, MS

  • Periodontics
  • Lafayette, CA
National Provider Identifier
1205049137
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
60373 Issued in CA
Practice address
1371 Sunset Loop
Lafayette, CA 94549-6000
Phone
(925) 956-2032
NPI assigned
May 7, 2007
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 053389 NY
Periodontics 1223P0300X 60373 CA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 60373 CA

Addresses

Primary practice location

1371 Sunset Loop
Lafayette, CA 94549-6000

Mailing address

1371 Sunset Loop
Lafayette, CA 94549-6000
Phone (925) 956-2032

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211008001632 CA Practitioner - Oral SurgeryPractitioner - Dentist 1951617570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
053389NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria T Alarcon DDS Dental Corporation Dentist CurrentSince Aug 1, 2021 Accepting new patients

Locations

19682 Hesperian Blvd
Ste 208
Hayward Acres, CA 94541
Phone (510) 253-2350

3927 Macdonald Ave
Richmond, CA 94805
Phone (510) 232-4003

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1205049137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 SUNSET LOOP",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945496000",
            "telephone_number": "925-956-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 SUNSET LOOP",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945496000",
            "telephone_number": "925-956-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGINI",
        "first_name": "FILIPPO",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-07-22",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053389",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "60373",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "60373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.