Individual provider Active NPI

Christopher Pescatore, D.M.D.

  • Dentist
  • Danville, CA
National Provider Identifier
1538493499
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44758 Issued in CA
Practice address
903 San Ramon Valley Blvd
Suite 226
Danville, CA 94526-4046
Phone
(925) 362-9330
Fax
(925) 362-8789
NPI assigned
Sep 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44758 CA Primary

Addresses

Primary practice location

903 San Ramon Valley Blvd
Suite 226
Danville, CA 94526-4046

Mailing address

903 San Ramon Valley Blvd
Suite 226
Danville, CA 94526-4046
Phone (925) 362-9330

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
44758CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1538493499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 226",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264046",
            "telephone_number": "925-362-9330",
            "fax_number": "925-362-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 226",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264046",
            "telephone_number": "925-362-9330",
            "fax_number": "925-362-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCATORE",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.