Michael Thomas Oneill, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27814 Issued in CA

Practice address

525 Bollinger Canyon Way
Suite 105
San Ramon, CA 94582

Phone

(925) 735-3838

Fax

(925) 735-3866

NPI assigned

Apr 11, 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)

Not enrolled

State licenses

Practice roles

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.

• Canyon Lakes Dental

  • General Practice Dentistry
  • San Ramon, CA
  • NPI 1639546252
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326261025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BOLLINGER CANYON WAY",
            "address_2": "SUITE 105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94582",
            "telephone_number": "925-735-3838",
            "fax_number": "925-735-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BOLLINGER CANYON WAY",
            "address_2": "SUITE 105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94582",
            "telephone_number": "925-735-3838",
            "fax_number": "925-735-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia J Olguin
• Mahogani Y Oliver
• Alyssa Mae Olow
• Lisa Olson
• Jolanta M Omski, MD
• Anthony Albert Ong
• Optometric Center and Eyewear Galleria
• Opus Management and Consulting
• Oracle Healthcare Network, Corp.
• Oraspace Dental Care

• General Practice Dentistry in San Ramon, CA
• Providers in San Ramon, 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.