Active NPI
Trieu P. Ton, DDS, Prof. Corp.
Doing business as Autumn Lake Dental
- Dental Clinic/Center
- Oakley, CA
National Provider Identifier
1528482999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 59481
- Legal business name
- TRIEU P. TON, DDS, PROF. CORP.
- Doing business as
- Autumn Lake Dental
- Practice address
- 2199 Main St
Oakley, CA 94561-3303 - Phone
- (925) 600-8020
- Fax
- (925) 452-6323
- NPI assigned
- Feb 5, 2014
- 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. Trieu P Ton, DDS
- Title
- Dentist/President
- Phone
- (530) 574-3396
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 59481 | CA | Primary |
Addresses
Primary practice location
2199 Main St
Oakley, CA 94561-3303
Mailing address
400 Del Antico Ave Unit 699
Oakley, CA 94561-5632
Phone (925) 600-8020
Other names 1
- Autumn Lake Dental
National Provider Directory
National Provider DirectoryLocations
400 Del Antico Ave
Unit 699
Oakley, CA 94561
2199 Main St
Oakley, CA 94561
Phone (925) 575-9504
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Oakley, CA
- NPI 1760798896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1528482999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 DEL ANTICO AVE UNIT 699",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945615632",
"telephone_number": "925-600-8020",
"fax_number": "925-452-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2199 MAIN ST",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945613303",
"telephone_number": "925-600-8020",
"fax_number": "925-452-6323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIEU P. TON, DDS, PROF. CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "TON",
"authorized_official_first_name": "TRIEU",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "530-574-3396",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "59481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Autumn Lake Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oakley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.