Individual provider Active NPI

Gary R Albright, D.M.D

  • General Practice Dentistry
  • San Lorenzo, CA
National Provider Identifier
1518086875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18516 Issued in CA
Practice address
15600 Washington Ave
San Lorenzo, CA 94580-1467
Phone
(510) 276-7124
Fax
(510) 276-7132
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 18516 CA Primary

Addresses

Primary practice location

15600 Washington Ave
San Lorenzo, CA 94580-1467

Mailing address

15600 Washington Ave
San Lorenzo, CA 94580-1467
Phone (510) 276-7124

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

State licenses

LicenseStateTypeSpecialty
18516CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518086875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 WASHINGTON AVE",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945801467",
            "telephone_number": "510-276-7124",
            "fax_number": "510-276-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 WASHINGTON AVE",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945801467",
            "telephone_number": "510-276-7124",
            "fax_number": "510-276-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRIGHT",
        "first_name": "GARY",
        "middle_name": "R",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "18516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.