Canyon Lakes Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021670 Issued in MI

Legal business name

CANYON LAKES DENTAL

Practice address

525 Bollinger Canyon Way Ste 105
San Ramon, CA 94582-4935

Phone

(925) 735-3838

NPI assigned

Aug 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Erik Richard Burke, DDS

Title

Dentist

Phone

(231) 735-3715

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shilpi Patel Chovatia, D.D.S.

  • Dentist
  • San Ramon, CA
  • NPI 1851642672
  NPD (past)
• Michael Thomas Oneill, DDS

  • General Practice Dentistry
  • San Ramon, CA
  • NPI 1326261025
  NPD (past)

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1639546252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BOLLINGER CANYON WAY STE 105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824935",
            "telephone_number": "925-735-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BOLLINGER CANYON WAY STE 105",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824935",
            "telephone_number": "925-735-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON LAKES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DAVID ERIK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "231-735-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorin A Cano
• Cantrell Chiropractic Inc.
• Angela L Cantrell, D.C.
• Canyon Chiropractic
• Canyon Lakes Chiropractic Group
• Ronald L Cao
• Diante Miguel Caraway
• Diana Carbajal
• Alejandra Cardenas-Parada
• Marlene Cardenas

• General Practice Dentistry in San Ramon, CA
• Providers in San Ramon, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.