Organization Active NPI

Lindsey Koida, DDS, Inc

  • General Practice Dentistry
  • Oakland, CA
National Provider Identifier
1497298657
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55075 Issued in CA
Legal business name
LINDSEY KOIDA, DDS, INC
Practice address
5700 Broadway
Oakland, CA 94618-1523
Phone
(510) 652-1517
Fax
(510) 653-9088
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Lindsey Koida, DDS
Title
President
Phone
(510) 652-1517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55075 CA Primary

Addresses

Primary practice location

5700 Broadway
Oakland, CA 94618-1523

Mailing address

5700 Broadway
Oakland, CA 94618-1523
Phone (510) 652-1517

National Provider Directory

National Provider Directory

Locations

5700 Broadway
Oakland, CA 94618
Phone (510) 652-1517

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1497298657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181523",
            "telephone_number": "510-652-1517",
            "fax_number": "510-653-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181523",
            "telephone_number": "510-652-1517",
            "fax_number": "510-653-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY KOIDA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "KOIDA",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-652-1517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.