Individual provider Active NPI

VI Khanh Dao, DDS

  • Endodontics
  • Pleasanton, CA
National Provider Identifier
1699298745
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
101580 Issued in CA
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

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
101580CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Franco a Tarm and Harrison Nguyen DDS MSD a Partnership of Professiona Endodontics CurrentSince May 24, 2020 Accepting new patients
VI Dao Endodontics Inc CurrentSince Jan 24, 2021 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.

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.

Verify at the official NPI Registry.