Organization Active NPI

Trieu P. Ton, DDS, Prof. Corp.

Doing business as Autumn Lake Dental

  • Dental Clinic/Center
  • Oakley, CA
National Provider Identifier
1528482999
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
59481 Issued in CA
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

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Trieu P Ton, DDSNPI 1760798896
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.