Individual provider Active NPI

Craig A. Dunlap, D.D.S.

  • Endodontics
  • Pleasanton, CA
National Provider Identifier
1295735579
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
42045 Issued in CA
Practice address
1491 Cedarwood LN
Suite B
Pleasanton, CA 94566-6154
Phone
(925) 461-4802
Fax
(925) 461-1704
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 42045 CA Primary

Addresses

Primary practice location

1491 Cedarwood LN
Suite B
Pleasanton, CA 94566-6154

Mailing address

1491 Cedarwood LN
Suite B
Pleasanton, CA 94566-6154
Phone (925) 461-4802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120000012 CA Order and Referring Only - DentistPractitioner - Dentist 1951714625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P.N. Quang, D.D.S., Inc. Endodontics PastSince Jul 28, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cdunlap308514@direct.ochin.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1295735579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN",
            "address_2": "SUITE B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666154",
            "telephone_number": "925-461-4802",
            "fax_number": "925-461-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN",
            "address_2": "SUITE B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666154",
            "telephone_number": "925-461-4802",
            "fax_number": "925-461-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "42045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.