Individual provider Active NPI

George Reyes Catambay, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lafayette, CA
National Provider Identifier
1629292602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
23716 Issued in CA
Practice address
949 Oakview Circle
Lafayette, CA 94549
Phone
(925) 284-4507
Fax
(925) 284-4507
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 23716 CA Primary

Addresses

Primary practice location

949 Oakview Circle
Lafayette, CA 94549

Mailing address

949 Oakview Circle
Lafayette, CA 94549
Phone (925) 284-4507

Other identifiers 2

IdentifierTypeStateIssuer
B2371601OtherCAMEDI CAL
B2371601MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629292602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 OAKVIEW CIRCLE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-284-4507",
            "fax_number": "925-284-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 OAKVIEW CIRCLE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-284-4507",
            "fax_number": "925-284-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATAMBAY",
        "first_name": "GEORGE",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "23716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "B2371601",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2371601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, 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.

Verify at the official NPI Registry.