Active NPI
VI Khanh Dao, DDS
- Endodontics
- Pleasanton, CA
National Provider Identifier
1699298745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 101580
- Practice address
- 5720 Stoneridge Mall Rd Ste 280
Pleasanton, CA 94588-2830 - Phone
- (925) 469-0875
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 101580 | CA | |
| Endodontics | 1223E0200X | 101580 | CA | Primary |
Addresses
Primary practice location
5720 Stoneridge Mall Rd Ste 280
Pleasanton, CA 94588-2830
Mailing address
1034 Murrieta Blvd
Livermore, CA 94550-4111
Phone (925) 443-3636
Other practice location 1
1034 Murrieta Blvd
Livermore, CA 94550-4111
Phone (925) 443-3636
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101580 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franco a Tarm and Harrison Nguyen DDS MSD a Partnership of Professiona | Endodontics | Current | Accepting new patients |
| VI Dao Endodontics Inc | Current | Accepting new patients | |
| Vu a Tran DMD Inc | General Practice | Past | Accepting new patients |
| Hao N. Tran, DDS, Inc. | Past | Accepting new patients |
Locations
1034 Murrieta Blvd
Livermore, CA 94550
Phone (925) 443-3636
5720 Stoneridge Mall Rd
Ste 280
Pleasanton, CA 94588
Phone (714) 592-4488
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Pleasanton, CA
- NPI 1518557776
-
- Endodontics
- Pleasanton, CA
- NPI 1366062747
-
- Dentist
- San Jose, CA
- NPI 1558995381
-
- General Practice Dentistry
- San Jose, CA
- NPI 1093858870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1699298745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 MURRIETA BLVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504111",
"telephone_number": "925-443-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 STONERIDGE MALL RD STE 280",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882830",
"telephone_number": "925-469-0875"
}
],
"practiceLocations": [
{
"address_1": "1034 Murrieta Blvd",
"address_purpose": "LOCATION",
"city": "Livermore",
"state": "CA",
"postal_code": "945504111",
"country_code": "US",
"telephone_number": "925-443-3636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAO",
"first_name": "VI",
"middle_name": "KHANH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "101580",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "101580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.