Organization Active NPI

Elliott S Dushkin DDS Apdc

  • General Practice Dentistry
  • Concord, CA
National Provider Identifier
1518105014
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26754 Issued in CA
Legal business name
ELLIOTT S DUSHKIN DDS APDC
Practice address
2485 High School Ave
#307
Concord, CA 94520
Phone
(925) 671-7477
Fax
(925) 691-9671
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mr. Elliott S Dushkin, DDS
Title
Ceo
Phone
(925) 671-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 26754 CA Primary

Addresses

Primary practice location

2485 High School Ave
#307
Concord, CA 94520

Mailing address

2485 High School Ave
#307
Concord, CA 94520
Phone (925) 671-7477

National Provider Directory

National Provider Directory

Locations

2485 High School Ave
Ste 307
Concord, CA 94520
Phone (925) 671-7477

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1518105014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "#307",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-671-7477",
            "fax_number": "925-691-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HIGH SCHOOL AVE",
            "address_2": "#307",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-671-7477",
            "fax_number": "925-691-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT S DUSHKIN DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "DUSHKIN",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-671-7477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.