Active NPI
Daniel S Nam DDS, a Professional Dental Corporation
- Dental Clinic/Center
- Oakland, CA
National Provider Identifier
1356068985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.