Barretto & Wong Dental, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BARRETTO & WONG DENTAL, INC

Practice address

2410 San Ramon Valley Blvd Ste 148
San Ramon, CA 94583-1672

Phone

(925) 855-1604

NPI assigned

Sep 26, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Wong, DDSNPI 1518319938

Title

Secretary

Phone

(925) 855-1604

Specialties & licenses 1

Addresses

Other names 1

• Courtyard Dental Doing business as

Locations

Practitioners 3

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

• Michelle B Wong, D.D.S.

  • Dentist
  • Benicia, CA
  • NPI 1518319938
  NPD Authorized official
• Mark Thomas Hickmott, D.D.S.

  • General Practice Dentistry
  • San Ramon, CA
  • NPI 1518027580
  NPD (past)
• Omar Mohammad Yaacoobi, DMD

  • Dentist
  • San Ramon, CA
  • NPI 1679302624
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1487139358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAN RAMON VALLEY BLVD STE 148",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831672",
            "telephone_number": "925-855-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAN RAMON VALLEY BLVD STE 148",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831672",
            "telephone_number": "925-855-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETTO & WONG DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "925-855-1604",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtyard Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tahmina Barkzai
• Alison Jean Barnes
• Yaslinn Lora Barnes
• Bradee Lynn Barr, BS
• Crystal Barrett
• Jenise Yolanda Barron
• Barry N Gardiner MD Inc
• Brandalen Bartholomew, RBT
• Karlotta L Bartholomew, PH.D.
• Emily Ann Bartlett-Bate

• Dental Clinic/Center in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.