Nancy Derham Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38914 Issued in CA

Legal business name

NANCY DERHAM DENTAL CORPORATION

Practice address

1805 Novato Blvd
#6
Novato, CA 94947-2934

Phone

(415) 892-4721

Fax

(415) 892-5921

NPI assigned

Mar 14, 2008

Last updated

Mar 14, 2008By 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

Nancy Derham, DDSNPI 1285805721

Title

President

Phone

(415) 892-4721

Specialties & licenses 1

Addresses

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.

• Nancy Derham, DDS

  • General Practice Dentistry
  • Novato, CA
  • NPI 1285805721
  NPD (past) Authorized official

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1255502522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 NOVATO BLVD",
            "address_2": "#6",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472934",
            "telephone_number": "415-892-4721",
            "fax_number": "415-892-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 NOVATO BLVD",
            "address_2": "#6",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472934",
            "telephone_number": "415-892-4721",
            "fax_number": "415-892-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY DERHAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "DERHAM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-892-4721",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Murphy, PSYD
• James Timothy Murphy, M.D.
• Karen Ann Murphy, MOTR/L
• Nader M. Vafaie DMD MMSC Professional Corp
• Chelsea Namkung
• Shereen Nassar
• Vanessa Natan Tondo Satrio
• Carla Ann Naylor
• Barry Michael Nemrow, DPM
• Maud Haimson Nerman, D.O.

• General Practice Dentistry in Novato, CA
• Providers in Novato, 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 Mar 14, 2008; 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.