Individual provider Active NPI

Rashpal S. Deol, DDS

  • Orofacial Pain Dentistry
  • San Ramon, CA
National Provider Identifier
1619985892
Registry record updated Mar 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
DDS49089 Issued in CA
Practice address
2276 Camino Ramon Ste 150
San Ramon, CA 94583-1353
Phone
(925) 735-6190
Fax
(925) 735-6198
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain Dentistry 1223X2210X DDS49089 CA Primary
Dentist 122300000X 49089 CA
General Practice Dentistry 1223G0001X 49089 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DDS49089 CA

Addresses

Primary practice location

2276 Camino Ramon Ste 150
San Ramon, CA 94583-1353

Mailing address

2276 Camino Ramon Ste 150
San Ramon, CA 94583-1353
Phone (925) 735-6190

Other practice location 1

500 Bollinger Canyon Way Ste 8.5
San Ramon, CA 94582-5251
Phone (925) 735-6190

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
I20230714002939 CA Practitioner - Dentist 7618238643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Bollinger Canyon Way
Suite 8.5
San Ramon, CA 94582-5251
Phone (925) 735-6190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49089CAMDGeneral Practice Dentistry
DDS49089CAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Rashpal Deol DDS Inc Dentist CurrentSince Oct 15, 2015 Accepting new patients

Locations

2276 Camino Ramon
Ste 150
San Ramon, CA 94583
Phone (925) 735-6190

500 Bollinger Canyon Way
Ste 85
San Ramon, CA 94582
Phone (925) 735-6190

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710028800000",
    "number": "1619985892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 CAMINO RAMON STE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831353",
            "telephone_number": "925-735-6190",
            "fax_number": "925-735-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 CAMINO RAMON STE 150",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831353",
            "telephone_number": "925-735-6190",
            "fax_number": "925-735-6198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Bollinger Canyon Way Ste 8.5",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945825251",
            "country_code": "US",
            "telephone_number": "925-735-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEOL",
        "first_name": "RASHPAL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-03-10",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "DDS49089",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49089",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49089",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS49089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.