Darick Arthur Nordstrom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28053 Issued in CA

Practice address

930 Sunnyslope Road Suite D4
Hollister, CA 95023-5619

Phone

(831) 637-1675

Fax

(831) 637-3987

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295874485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE ROAD SUITE D4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235619",
            "telephone_number": "831-637-1675",
            "fax_number": "831-637-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE ROAD SUITE D4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235619",
            "telephone_number": "831-637-1675",
            "fax_number": "831-637-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "DARICK",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hung Nguyen
• Jullian Pham Nguyen, MD
• Linh Thi Thuy Nguyen
• Cassandra Nicholson
• Nob Hill General Store Inc
• Leif Erik Nordstrom, DDS
• Linda Ann Nowbar, R.D., M.B.A.
• Seyed Ali Nowbar, R.PH.
• Nu U Institute
• Alma Nunez, BA, OTR/L

• General Practice Dentistry in Hollister, CA
• Providers in Hollister, CA by specialty
• General Practice Dentistry in California

• 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.