Organization Active NPI

Nakhla Dental Group

  • Dentist
  • San Ramon, CA
National Provider Identifier
1437684784
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60501 Issued in CA
Legal business name
NAKHLA DENTAL GROUP
Practice address
Crow Canyon Dental
2821 Crow Canyon Road #200
San Ramon, CA 94583
Phone
(925) 383-1533
Fax
(925) 838-3146
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Angel D. Thomas
Title
Insurance Coordinator
Phone
(925) 838-1533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 60501 CA Primary

Addresses

Primary practice location

Crow Canyon Dental
2821 Crow Canyon Road #200
San Ramon, CA 94583

Mailing address

Crow Canyon Dental
2821 Crow Canyon Road #200
San Ramon, CA 94583
Phone (925) 383-1533

Other names 1

  • Crow Canyon Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2723 Crow Canyon Rd
Ste 215
San Ramon, CA 94583
Phone (925) 406-4829

2821 Crow Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 837-8765

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1437684784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CROW CANYON DENTAL",
            "address_2": "2821 CROW CANYON ROAD #200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-383-1533",
            "fax_number": "925-838-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROW CANYON DENTAL",
            "address_2": "2821 CROW CANYON ROAD #200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-383-1533",
            "fax_number": "925-838-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAKHLA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "925-838-1533"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "60501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crow Canyon Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crow Canyon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.