Organization Active NPI

Daryl Dudum DDS Inc

  • Endodontics
  • Novato, CA
National Provider Identifier
1669381489
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DARYL DUDUM DDS INC
Practice address
1748 Novato Blvd Ste 200
Novato, CA 94947-7855
Phone
(415) 898-0563
Fax
(415) 898-0563
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1748 Novato Blvd Ste 200
Novato, CA 94947-7855

Mailing address

1748 Novato Blvd Ste 200
Novato, CA 94947-7855
Phone (415) 898-7093

National Provider Directory

National Provider Directory

Locations

1748 Novato Blvd
Ste 200
Novato, CA 94947
Phone (415) 898-7093

Practitioners & affiliated clinicians

Practitioners 2

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": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1669381489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 NOVATO BLVD STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949477855",
            "telephone_number": "415-898-7093",
            "fax_number": "415-898-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 NOVATO BLVD STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949477855",
            "telephone_number": "415-898-0563",
            "fax_number": "415-898-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYL DUDUM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.