Organization Active NPI

Daniel S Nam DDS, a Professional Dental Corporation

  • Dental Clinic/Center
  • Oakland, CA
National Provider Identifier
1356068985
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL S NAM DDS, A PROFESSIONAL DENTAL CORPORATION
Practice address
2976 Summit St Ste 201
Oakland, CA 94609-3405
Phone
(510) 451-8315
NPI assigned
Oct 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

2976 Summit St Ste 201
Oakland, CA 94609-3405

Mailing address

2976 Summit St Ste 201
Oakland, CA 94609-3405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1356068985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 SUMMIT ST STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 SUMMIT ST STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093405",
            "telephone_number": "510-451-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S NAM DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "NAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "510-451-8315"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 25, 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.