Individual provider Active NPI

Afshin Bidgol, DMD

  • General Practice Dentistry
  • Hayward, CA
National Provider Identifier
1467643312
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55588 Issued in CA
Practice address
24700 Calaroga Ave
Suite 101
Hayward, CA 94545-2159
Phone
(510) 783-1414
Fax
(510) 783-0374
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55588 CA Primary

Addresses

Primary practice location

24700 Calaroga Ave
Suite 101
Hayward, CA 94545-2159

Mailing address

24700 Calaroga Ave
Suite 101
Hayward, CA 94545-2159
Phone (510) 783-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1467643312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 CALAROGA AVE",
            "address_2": "SUITE 101",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452159",
            "telephone_number": "510-783-1414",
            "fax_number": "510-783-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CALAROGA AVE",
            "address_2": "SUITE 101",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452159",
            "telephone_number": "510-783-1414",
            "fax_number": "510-783-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDGOL",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.