Active NPI
Lindsey Koida, DDS, Inc
- General Practice Dentistry
- Oakland, CA
National Provider Identifier
1497298657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55075
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Oakland, CA
- NPI 1881779783
-
- Dental Hygienist
- Oakland, CA
- NPI 1457997694
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.