Individual provider Active NPI

Birdevinder Attri, D.D.S

  • Dentist
  • San Rafael, CA
National Provider Identifier
1598043671
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60583 Issued in CA
Practice address
2500 Deer Valley Rd
Apt # 1226
San Rafael, CA 94903-1935
Phone
(415) 499-0366
Fax
(415) 259-4071
NPI assigned
Jul 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60583 CA Primary

Addresses

Primary practice location

2500 Deer Valley Rd
Apt # 1226
San Rafael, CA 94903-1935

Mailing address

2500 Deer Valley Rd
Apt # 1226
San Rafael, CA 94903-1935
Phone (415) 499-0366

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
60583CAMDMarriage & Family Therapist

Interoperability endpoints

  • Direct secure messaging: battri@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1598043671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DEER VALLEY RD",
            "address_2": "APT # 1226",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031935",
            "telephone_number": "415-499-0366",
            "fax_number": "415-259-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DEER VALLEY RD",
            "address_2": "APT # 1226",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031935",
            "telephone_number": "415-499-0366",
            "fax_number": "415-259-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTRI",
        "first_name": "BIRDEVINDER",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-24",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.