Dentist

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

61629 Issued in CA

Legal business name

DENTIST

Practice address

39038 Sutter Dr
Fremont, CA 94538-1141

Phone

(510) 709-7181

NPI assigned

Aug 13, 2015

Organization subpart

No

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

Authorized official

Name

Amy Au, DDS

Title

Dentist

Phone

(510) 709-7181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1588030480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39038 SUTTER DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39038 SUTTER DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381141",
            "telephone_number": "510-709-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-709-7181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "61629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Dennen Jr., MD
• Kimberly Denny, PA-C
• Dental Corporation of Mokbil and Gill
• Dental Group of Dong Shin, DDS, Inc.
• Dental White Management LLC
• Gurleen Deol, PA
• Sandeep Kaur Deol, MD
• Department of Veterans Affairs
• Alma Depizzo, FNP
• Julie Ann Depper, PA-C

• Prosthodontics in Fremont, CA
• Providers in Fremont, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.