Oakland Eco Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64928 Issued in CA

Legal business name

OAKLAND ECO DENTAL

Practice address

2838 Summit St
Oakland, CA 94609-3605

Phone

(510) 465-2838

NPI assigned

Aug 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Jeanne Butler, DDSNPI 1225485402

Title

General Dentist

Phone

(510) 465-2838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Jeanbe Butler, DDS

  • Dentist
  • Oakland, CA
  • NPI 1225485402
  NPD (past) Authorized official

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1396121828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 SUMMIT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093605",
            "telephone_number": "510-465-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 SUMMIT ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093605",
            "telephone_number": "510-465-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND ECO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "510-465-2838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakland Ca Endoscopy ASC LP (East Bay Endosurgery Center)
• Oakland Care Transit LLC
• Oakland Clinic Pharmacy
• Oakland Clinic Pharmacy
• Oakland Counseling Center
• Oakland Healthcare & Wellness Center LLC (Oakland Healthcare & Wellness Center)
• Oakland Hills Acupuncture Corp.
• Oakland Manual Therapy
• Oakland Medical Group, Inc.
• Oakland Medical Market Inc

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, 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 Aug 6, 2015; 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.