Michael Sychrava DMD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL SYCHRAVA DMD INC

Doing business as

Creekside Kids Dentistry

Practice address

1855 Olympic Blvd Ste 360
Walnut Creek, CA 94596-5069

Phone

(925) 465-1200

Fax

(925) 465-1250

NPI assigned

Sep 11, 2023

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Sychrava, DMDNPI 1154736072

Title

Ceo

Phone

(925) 465-1200

Specialties & licenses 1

Addresses

Other names 2

• Creekside Kids Dentistry Doing business as
• Michael Sychrava DMD Inc Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Sychrava, DMD

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1154736072
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1609653088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAMPTON CT",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026436",
            "telephone_number": "909-660-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 OLYMPIC BLVD STE 360",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965069",
            "telephone_number": "925-465-1200",
            "fax_number": "925-465-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SYCHRAVA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SYCHRAVA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-465-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael Sychrava DMD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael a Esparza MD Inc
• Michael a. Roy, O.D. Inc. (Roy Optometric Center)
• Michael J Burns MD Inc
• Michael J. Schwab, MD, Inc.
• Michael P Sherman MD PHD, a Medical Corporation
• Michael W Deboisblanc MD Inc
• Lisa Michael
• Gregory Taylor Michas, D.O.
• Michelle W. Liu, MD Inc.
• Michael Gary Michlitsch, M.D.

• Dental Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.