Individual provider Active NPI

Matthew Vincent Tognotti, D.D.S.

  • General Practice Dentistry
  • Walnut Creek, CA
National Provider Identifier
1356495139
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45623 Issued in CA
Practice address
1844 San Miguel Dr Ste 102
Walnut Creek, CA 94596-8601
Phone
(925) 934-2066
Fax
(925) 932-0124
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45623 CA Primary

Addresses

Primary practice location

1844 San Miguel Dr Ste 102
Walnut Creek, CA 94596-8601

Mailing address

1844 San Miguel Dr Ste 102
Walnut Creek, CA 94596-8601
Phone (925) 934-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45623CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1356495139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968601",
            "telephone_number": "925-934-2066",
            "fax_number": "925-932-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968601",
            "telephone_number": "925-934-2066",
            "fax_number": "925-932-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGNOTTI",
        "first_name": "MATTHEW",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.