Organization Active NPI

Daniel Nam Dental Corporation

  • Dental Clinic/Center
  • Oakland, CA
National Provider Identifier
1306563002
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL NAM DENTAL CORPORATION
Practice address
3317 Elm St Ste 101
Oakland, CA 94609-3053
Phone
(510) 451-8315
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Daniel Nam, DDS
Title
Owner Dentist
Phone
(510) 451-8315

Specialties & licenses 1

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

Addresses

Primary practice location

3317 Elm St Ste 101
Oakland, CA 94609-3053

Mailing address

3317 Elm St Ste 101
Oakland, CA 94609-3053

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL office@dnamdental.com

National Provider Directory

National Provider Directory

Locations

3317 Elm St
Ste 101
Oakland, CA 94609
Phone (510) 451-8315

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1306563002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 ELM ST STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 ELM ST STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093053",
            "telephone_number": "510-451-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL NAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "510-451-8315",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office@dnamdental.com",
            "affiliation": "N",
            "address_1": "3317 Elm St Ste 101",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946093053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.