Individual provider Active NPI

Michelle Emigh Agazzi, DDS MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oakland, CA
National Provider Identifier
1548381502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
40430 Issued in CA
Practice address
2923 Webster St
Suite 301
Oakland, CA 94609-3481
Phone
(510) 451-5236
Fax
(510) 451-6108
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 40430 CA Primary

Addresses

Primary practice location

2923 Webster St
Suite 301
Oakland, CA 94609-3481

Mailing address

2923 Webster St
Suite 301
Oakland, CA 94609-3481
Phone (510) 451-5236

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548381502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 WEBSTER ST",
            "address_2": "SUITE 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093481",
            "telephone_number": "510-451-5236",
            "fax_number": "510-451-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 WEBSTER ST",
            "address_2": "SUITE 301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093481",
            "telephone_number": "510-451-5236",
            "fax_number": "510-451-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAZZI",
        "first_name": "MICHELLE",
        "middle_name": "EMIGH",
        "name_prefix": "Dr.",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "40430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, 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.