Organization Active NPI

Muir Hills Dental Partnership

  • General Practice Dentistry
  • Pleasant Hill, CA
National Provider Identifier
1619744810
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MUIR HILLS DENTAL PARTNERSHIP
Practice address
710 Grayson Rd
Pleasant Hill, CA 94523-2687
Phone
(925) 330-7086
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Kristan Ghisletta
Title
Office Manager
Phone
(925) 330-7086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

710 Grayson Rd
Pleasant Hill, CA 94523-2687

Mailing address

710 Grayson Rd
Pleasant Hill, CA 94523-2687
Phone (925) 330-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241209000957 CA DME Supplier - Oral Surgery - Dentist 1658807102 Practice locations: Pleasant Hill, CA

National Provider Directory

National Provider Directory

Locations

710 Grayson Rd
Pleasant Hill, CA 94523
Phone (925) 932-3289

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1619744810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GRAYSON RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232687",
            "telephone_number": "925-330-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GRAYSON RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232687",
            "telephone_number": "925-330-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUIR HILLS DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "GHISLETTA",
        "authorized_official_first_name": "KRISTAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-330-7086"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.