Koll Center Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47258 Issued in CA

Legal business name

KOLL CENTER DENTAL GROUP

Practice address

6654 Koll Center Pkwy Ste 350
Pleasanton, CA 94566-3125

Phone

(925) 484-2828

Fax

(925) 484-4504

NPI assigned

Mar 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Krystyne Vu

Title

Office Manager

Phone

(925) 484-2828

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Gavin Ewing, D.D.S.

  • Dentist
  • Pleasanton, CA
  • NPI 1528485190
  NPD (past)
• Aldrin L Sangalang, DDS

  • General Practice Dentistry
  • Pleasanton, CA
  • NPI 1912054610
  NPD (past)

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1316188436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 KOLL CENTER PKWY STE 350",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663125",
            "telephone_number": "925-484-2828",
            "fax_number": "925-484-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 KOLL CENTER PKWY STE 350",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663125",
            "telephone_number": "925-484-2828",
            "fax_number": "925-484-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLL CENTER DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "KRYSTYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-484-2828",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47258",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ko, DDS
• Chastity L Kobus
• Mia Kodama
• Judith Koenig, MFT
• Anthony Kyawnaing Koh, MD
• Likuo Kong, MD
• Jodie Konigsberg, PA-C
• Arnold Koo, DC
• Reid Jonathan Kopel, PH.D.
• Anna Venecia Koper

• General Practice Dentistry in Pleasanton, CA
• Providers in Pleasanton, 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 Apr 28, 2009; 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.