Active NPI
David Lewis Pfeifer
- Dentist
- Walnut Creek, CA
National Provider Identifier
1609998269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21741
- Practice address
- 1220 Rossmoor Parkway
# 1
Walnut Creek, CA 94595 - Phone
- (925) 935-5800
- Fax
- (925) 935-5822
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21741 | CA | Primary |
Addresses
Primary practice location
1220 Rossmoor Parkway
# 1
Walnut Creek, CA 94595
Mailing address
1220 Rossmoor Parkway
# 1
Walnut Creek, CA 94595
Phone (925) 935-5800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21741 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609998269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 ROSSMOOR PARKWAY",
"address_2": "# 1",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94595",
"telephone_number": "925-935-5800",
"fax_number": "925-935-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 ROSSMOOR PARKWAY",
"address_2": "# 1",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94595",
"telephone_number": "925-935-5800",
"fax_number": "925-935-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEIFER",
"first_name": "DAVID",
"middle_name": "LEWIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "21741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, 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.