Individual provider Active NPI

Joseph William Danna, DDS

  • Dentist
  • Rocklin, CA
National Provider Identifier
1417713157
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS109823 Issued in CA
Practice address
5182 Commons Dr Ste 101
Rocklin, CA 95677-3911
Phone
(916) 660-9487
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS109823 CA Primary

Addresses

Primary practice location

5182 Commons Dr Ste 101
Rocklin, CA 95677-3911

Mailing address

4727 Hansen Rd
Loomis, CA 95650-9315
Phone (279) 977-8066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524003610 CA Order and Referring Only - DentistPractitioner - Dentist 7214379965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS109823CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ricky V Tran Dental Corporation PastSince Feb 25, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1417713157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 HANSEN RD",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509315",
            "telephone_number": "279-977-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5182 COMMONS DR STE 101",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773911",
            "telephone_number": "916-660-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNA",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS109823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.