Needham Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50653 Issued in CA

Legal business name

NEEDHAM DENTAL CORPORATION

Doing business as

university dental

Practice address

847 San Pablo Ave
Albany, CA 94706-1602

Phone

(510) 528-7216

Fax

(510) 528-7217

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony John Needham, DDSNPI 1962541748

Title

Dental Director

Phone

(408) 354-8549

Specialties & licenses 1

Addresses

Other names 1

• university dental Doing business as

Locations

Practitioners 1

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.

• Anthony Needham, DDS

  • General Practice Dentistry
  • Los Gatos, CA
  • NPI 1962541748
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245443670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N SANTA CRUZ AVE",
            "address_2": "UNIT 225",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307244",
            "telephone_number": "408-354-8549",
            "fax_number": "408-354-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061602",
            "telephone_number": "510-528-7216",
            "fax_number": "510-528-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "408-354-8549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "university dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Morello, OTR/L
• Lauren Heather Mueller, ED.S.
• Richard Owen Murdoch, MD
• Ramtin K Nassiri, DDS
• Lisa M Nave, MFT
• Arvalea Jane Nelson, PH.D. PSYCHOLOGIST
• Margaret Elizabeth Nettles, PHD
• Vanessa Nicole Kramer Newman, DO
• Zoe Newman, MFT
• Thanhan Andy Nguyen-Tran, OD, FAAO

• General Practice Dentistry in Albany, CA
• Providers in Albany, CA by specialty
• General Practice Dentistry in California

• 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.