Organization Active NPI

Evangelista Dental Group Walnut Creek, PC

  • Dental Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1275461832
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EVANGELISTA DENTAL GROUP WALNUT CREEK, PC
Doing business as
Olympic Dental Walnut Creek
Practice address
1901 Olympic Blvd Ste 105
Walnut Creek, CA 94596-5024
Phone
(925) 935-3030
NPI assigned
May 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Casey Castle
Title
Director of Payor Contracting
Phone
(912) 732-1504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1901 Olympic Blvd Ste 105
Walnut Creek, CA 94596-5024

Mailing address

1901 Olympic Blvd Ste 105
Walnut Creek, CA 94596-5024

Other names 1

  • Olympic Dental Walnut Creek Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1275461832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 OLYMPIC BLVD STE 105",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OLYMPIC BLVD STE 105",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965024",
            "telephone_number": "925-935-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELISTA DENTAL GROUP WALNUT CREEK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR CONTRACTING",
        "authorized_official_telephone_number": "912-732-1504"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Dental Walnut Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2026; 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.