Organization Active NPI

Ricardo S. de Ala DMD Inc.

  • Dental Clinic/Center
  • Fremont, CA
National Provider Identifier
1275302283
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICARDO S. DE ALA DMD INC.
Doing business as
Artist Walk Dental
Practice address
37120 Fremont Blvd Ste G
Fremont, CA 94536-3816
Phone
(510) 396-5459
Fax
(510) 657-8936
NPI assigned
Jan 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Dr. Ricardo S De Ala, DMDNPI 1215045323
Title
Owner
Phone
(510) 396-5459

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

37120 Fremont Blvd Ste G
Fremont, CA 94536-3816

Mailing address

37120 Fremont Blvd Ste G
Fremont, CA 94536-3816
Phone (510) 657-8907

Other names 1

  • Artist Walk Dental Doing business as

National Provider Directory

National Provider Directory

Locations

37120 Fremont Blvd
Ste G
Fremont, CA 94536
Phone (510) 396-5459

Practitioners & affiliated clinicians

Practitioners 1

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": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1275302283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37120 FREMONT BLVD STE G",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363816",
            "telephone_number": "510-657-8907",
            "fax_number": "510-657-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37120 FREMONT BLVD STE G",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363816",
            "telephone_number": "510-396-5459",
            "fax_number": "510-657-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO S. DE ALA DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "DE ALA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-396-5459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artist Walk Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.