Organization Active NPI

Jacob Devinney DDS Inc

  • General Practice Dentistry
  • Pleasanton, CA
National Provider Identifier
1508384454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61148 Issued in CA
Legal business name
JACOB DEVINNEY DDS INC
Practice address
5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052
Phone
(925) 484-4406
Fax
(925) 484-0346
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jacob Devinney, DDSNPI 1770857856
Title
President/Owner
Phone
(925) 484-4406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 61148 CA Primary

Addresses

Primary practice location

5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052

Mailing address

5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052
Phone (925) 484-4406

National Provider Directory

National Provider Directory

Locations

5000 Pleasanton Ave
Ste 110
Pleasanton, CA 94566
Phone (925) 484-4406

Practitioners & affiliated clinicians

Practitioners 3

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": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508384454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PLEASANTON AVE STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667052",
            "telephone_number": "925-484-4406",
            "fax_number": "925-484-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PLEASANTON AVE STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667052",
            "telephone_number": "925-484-4406",
            "fax_number": "925-484-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB DEVINNEY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEVINNEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "925-484-4406",
        "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": "61148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.