Active NPI
Brian Hornberger, DDS MS
- Endodontics
- Antioch, CA
National Provider Identifier
1689852006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 41263
- Practice address
- 3801 Lonetree Way
East County Endodontics
Antioch, CA 94509 - Phone
- (925) 753-5810
- Fax
- (925) 753-5814
- NPI assigned
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 41263 | CA | Primary |
Addresses
Primary practice location
3801 Lonetree Way
East County Endodontics
Antioch, CA 94509
Mailing address
3801 Lonetree Way
East County Endodontics
Antioch, CA 94509
Phone (925) 753-5810
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41263 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1689852006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 LONETREE WAY",
"address_2": "EAST COUNTY ENDODONTICS",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-753-5810",
"fax_number": "925-753-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 LONETREE WAY",
"address_2": "EAST COUNTY ENDODONTICS",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-753-5810",
"fax_number": "925-753-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBERGER",
"first_name": "BRIAN",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "41263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.