Individual provider Active NPI

Allan Ponsalan Capinpin, DDS

  • General Practice Dentistry
  • Walnut Creek, CA
National Provider Identifier
1265458962
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42129 Issued in CA
Practice address
1776 Ygnacio Valley Rd Ste 200
Walnut Creek, CA 94598-3125
Phone
(925) 932-3366
Fax
(925) 932-3388
NPI assigned
Jul 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42129 CA Primary

Addresses

Primary practice location

1776 Ygnacio Valley Rd Ste 200
Walnut Creek, CA 94598-3125

Mailing address

1776 Ygnacio Valley Rd Ste 200
Walnut Creek, CA 94598-3125
Phone (925) 932-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42129CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265458962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983125",
            "telephone_number": "925-932-3366",
            "fax_number": "925-932-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983125",
            "telephone_number": "925-932-3366",
            "fax_number": "925-932-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPINPIN",
        "first_name": "ALLAN",
        "middle_name": "PONSALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.