NPIMap

Organization Active NPI

Wadie Dughman, DMD, Inc.

Doing business as Dughman Dental

  • General Practice Dentistry
  • Alameda, CA
National Provider Identifier
1205360328
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61231 Issued in CA
Legal business name
WADIE DUGHMAN, DMD, INC.
Doing business as
Dughman Dental
Practice address
2651 Blanding Ave
Suite L
Alameda, CA 94501-1580
Phone
(510) 521-0420
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Dr. Wadie Dughman, D.M.D.NPI 1598059339
Title
Dentist
Phone
(510) 205-2621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 61231 CA Primary

Addresses

Primary practice location

2651 Blanding Ave
Suite L
Alameda, CA 94501-1580

Mailing address

2651 Blanding Ave
Suite L
Alameda, CA 94501-1580
Phone (510) 521-0420

Other names 1

  • Dughman Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1205360328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "SUITE L",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-521-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 BLANDING AVE",
            "address_2": "SUITE L",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011580",
            "telephone_number": "510-521-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADIE DUGHMAN, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "DUGHMAN",
        "authorized_official_first_name": "WADIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-205-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dughman Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.