Richard C. Evangelista D.D.S., Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

47258 Issued in CA

Legal business name

RICHARD C. EVANGELISTA D.D.S., INC.

Practice address

6111 Johnson CT Ste 201
Pleasanton, CA 94588-3331

Phone

(925) 924-9900

NPI assigned

Jun 1, 2017

Last updated

Jun 1, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Evangelista, DDS

Title

President

Phone

(925) 789-0575

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Richard C. Evangelista D.D.S., Inc.

  dba Beautiful Smiles of La Jolla

  • Dental Clinic/Center
  • La Jolla, CA
  • NPI 1558891291
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Donovan Wishart, D.D.S.

  • Dentist
  • Pleasanton, CA
  • NPI 1568679298
  NPD (past)

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1386172450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 JOHNSON CT STE 201",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883331",
            "telephone_number": "925-924-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 JOHNSON CT STE 201",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883331",
            "telephone_number": "925-924-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. EVANGELISTA D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-789-0575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo Shin Rhee, M.D.
• Ricardo E. Aguirre, M.D., Inc
• Donald Rice, M.D.
• Nina Marie Rice
• Phyllis Ann Rice, RN
• Richard Wu, O.D., a Professional Corporation (Family Focus Optometry)
• Leah Katherine Richard, L.AC.
• Kristyna Marie Richardson
• Daniel Edwin Rieders, M.D.
• Julie Ann Ring, PHARM.D.

• Dental Clinic/Center in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.