Individual provider Active NPI

Elliott Steven Dushkin, D.D.S.

  • General Practice Dentistry
  • Martinez, CA
National Provider Identifier
1275662736
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26754 Issued in CA
Practice address
2500 Alhambra Avenue
Contra Costa County Regional Health Center
Martinez, CA 94553-3191
Phone
(925) 671-7477
Fax
(925) 691-9671
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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 26754 CA Primary

Addresses

Primary practice location

2500 Alhambra Avenue
Contra Costa County Regional Health Center
Martinez, CA 94553-3191

Mailing address

2500 Alhambra Avenue
Contra Costa County Regional Health Center
Martinez, CA 94553-3191
Phone (925) 671-7477

Other names 1

  • Dr. Elliott Steven Dushkin Professional name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1275662736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVENUE",
            "address_2": "CONTRA COSTA COUNTY REGIONAL HEALTH CENTER",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533191",
            "telephone_number": "925-671-7477",
            "fax_number": "925-691-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVENUE",
            "address_2": "CONTRA COSTA COUNTY REGIONAL HEALTH CENTER",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533191",
            "telephone_number": "925-671-7477",
            "fax_number": "925-691-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSHKIN",
        "first_name": "ELLIOTT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIOTT",
            "last_name": "DUSHKIN",
            "middle_name": "STEVEN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.