Individual provider Active NPI

Wadie O Dughman, DMD

  • Dentist
  • Alameda, CA
National Provider Identifier
1598059339
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61231 Issued in CA
Practice address
2181 Harbor Bay Pkwy
Alameda, CA 94502-3019
Phone
(510) 521-0420
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61231 CA Primary

Addresses

Primary practice location

2181 Harbor Bay Pkwy
Alameda, CA 94502-3019

Mailing address

2181 Harbor Bay Pkwy
Alameda, CA 94502-3019
Phone (510) 521-0420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513001707 CA Order and Referring Only - DentistPractitioner - Dentist 7618266602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wadie Dughman, DMD, Inc. Past Accepting new patients
Corazon B. Manaloto DDS Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1598059339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 HARBOR BAY PKWY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945023019",
            "telephone_number": "510-521-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 HARBOR BAY PKWY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945023019",
            "telephone_number": "510-521-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGHMAN",
        "first_name": "WADIE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.