Evelina Ivanova Dragneva, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101127 Issued in CA

Practice address

11040 Bollinger Canyon Rd Ste I
San Ramon, CA 94582-5056

Phone

(925) 648-8881

NPI assigned

Sep 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1437344934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 BOLLINGER CANYON RD STE I",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825056",
            "telephone_number": "925-648-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 BOLLINGER CANYON RD STE I",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825056",
            "telephone_number": "925-648-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGNEVA",
        "first_name": "EVELINA",
        "middle_name": "IVANOVA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Srujal H Shah DDS Inc
• Dr Suzanne Saidi DDS
• Dr. Douglas Severance, MD, Inc.
• Dr. Ron Hassanzadeh, PC
• Dr. Sandy Bigman
• Draper Family Dentistry
• Garrett R Draper, D.D.S.
• Kevin R Draper, DDS
• Laurie F Draughon, M.D.
• Dream Care, LLC

• General Practice Dentistry in San Ramon, CA
• Providers in San Ramon, 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 Apr 21, 2021; 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.