Evan R Santiago DDS MSD Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

EVAN R SANTIAGO DDS MSD INC

Doing business as

East Bay Periodontics and Implant Dentistry

Practice address

6333 Telegraph Ave
Ste 101
Oakland, CA 94609

Phone

(510) 547-1300

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Sr Credentialing Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• East Bay Periodontics and Implant Dentistry Doing business as

Locations

Practitioners 3

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

• Amanda Heydari Boisen, DDS

  • Periodontics
  • Oakland, CA
  • NPI 1104406057
  NPD
• Evan Raphael Santiago, D.D.S.

  • Periodontics
  • Oakland, CA
  • NPI 1033525738
  NPD
• John Young Kwan, DDS

  • Periodontics
  • Oakland, CA
  • NPI 1205942992
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1649044835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 TELEGRAPH AVE",
            "address_2": "STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-547-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 TELEGRAPH AVE",
            "address_2": "STE 101",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-547-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVAN R SANTIAGO DDS MSD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Eubank
• Sabrina Eugster
• Laura Eule, AMFT
• Euphorik Care
• Thomas Konrad Eusterbrock, MD
• Emily Grace Evangelista
• Gwyneth Evangelista, RN
• Shanine Evangelista
• Katherine Lisa Evans-McDonald, REG.DENTAL HYGIENIST
• Alexis Evans

• Periodontics in Oakland, CA
• Providers in Oakland, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.