Emad S. Elgendy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58239 Issued in CA

Practice address

211 G St Apt 7
San Rafael, CA 94901-1834

Phone

(650) 867-0872

NPI assigned

Jul 7, 2009

Last updated

Jul 7, 2009By the provider in NPPES

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1336378710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 G ST APT 7",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011834",
            "telephone_number": "650-867-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 G ST APT 7",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949011834",
            "telephone_number": "650-867-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGENDY",
        "first_name": "EMAD",
        "middle_name": "S.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldercare Specialists of California LLC
• Amelia Whitney Eldridge, PA-C
• Elena Vince D C a Chiropractic Corp
• Elephant Pharmacy Operating Corp
• Meghan Assenmacher Elfsten, SUD
• Charles D Elias, LCSW, PHD
• Catherine Margret Eliaser, MARRIAGE AND FAMILY
• Chantal Elizaga
• Kimberly Elizondo
• Howard H Ellenberger, OD, PHD

• General Practice Dentistry in San Rafael, CA
• Providers in San Rafael, 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 7, 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.