Individual provider Active NPI

Daniel Joseph Mingrone, D.D.S.

  • Dentist
  • Campbell, CA
National Provider Identifier
1700252657
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64915 Issued in CA
Practice address
442 Manchester Ave
Campbell, CA 95008-0815
Phone
(408) 679-0646
NPI assigned
Aug 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 64915 CA Primary

Addresses

Primary practice location

442 Manchester Ave
Campbell, CA 95008-0815

Mailing address

442 Manchester Ave
Campbell, CA 95008-0815
Phone (408) 679-0646

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
64915CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Collins and Mingrone D.D.S., P.C., Campbell Current Accepting new patients
Collins and Mingrone D.D.S., P.C. Dentist Past Accepting new patients

Organizations & group practices 2

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1700252657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 MANCHESTER AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080815",
            "telephone_number": "408-679-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 MANCHESTER AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080815",
            "telephone_number": "408-679-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGRONE",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.