NPIMap

Organization Active NPI

Livermore Dental Care

  • Dentist
  • Livermore, CA
National Provider Identifier
1235535519
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4059601 Issued in CA
Legal business name
LIVERMORE DENTAL CARE
Practice address
1171 Murrieta Blvd
Suite 101
Livermore, CA 94550-4143
Phone
(925) 455-9510
Fax
(925) 455-9517
NPI assigned
Nov 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Dr. David W Gibson, DDSNPI 1487715348
Title
Dentist
Phone
(925) 455-9510

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4059601 CA Primary

Addresses

Primary practice location

1171 Murrieta Blvd
Suite 101
Livermore, CA 94550-4143

Mailing address

1171 Murrieta Blvd
Suite 101
Livermore, CA 94550-4143
Phone (925) 455-9510

National Provider Directory

National Provider Directory

Locations

1171 Murrieta Blvd
Ste 101
Livermore, CA 94550
Phone (925) 455-9510

Practitioners & affiliated clinicians

Practitioners 4

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": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1235535519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD",
            "address_2": "SUITE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-455-9510",
            "fax_number": "925-455-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 MURRIETA BLVD",
            "address_2": "SUITE 101",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504143",
            "telephone_number": "925-455-9510",
            "fax_number": "925-455-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVERMORE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-455-9510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "4059601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.