NPIMap

Organization Active NPI

Ackerman & Towson

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1235154261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39742 Issued in CA
Legal business name
ACKERMAN & TOWSON
Practice address
3701 Lone Tree Way
Suite 3-a
Antioch, CA 94509-6038
Phone
(925) 754-0899
Fax
(925) 754-1937
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Yvette Mendoza, RDA
Title
Office Manager
Phone
(925) 754-0899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 39742 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 43403 CA

Addresses

Primary practice location

3701 Lone Tree Way
Suite 3-a
Antioch, CA 94509-6038

Mailing address

3701 Lone Tree Way
Suite 3-a
Antioch, CA 94509-6038
Phone (925) 754-0899

Other names 1

  • Lone Tree Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

3701 Lone Tree Way
Ste 3A
Antioch, CA 94509
Phone (925) 754-0899

Practitioners & affiliated clinicians

Practitioners 2

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235154261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 LONE TREE WAY",
            "address_2": "SUITE 3-A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096038",
            "telephone_number": "925-754-0899",
            "fax_number": "925-754-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LONE TREE WAY",
            "address_2": "SUITE 3-A",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096038",
            "telephone_number": "925-754-0899",
            "fax_number": "925-754-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACKERMAN & TOWSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-754-0899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39742",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Tree Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.