Organization Active NPI

Julie L Greenlaw DDS Apc

  • General Practice Dentistry
  • Walnut Creek, CA
National Provider Identifier
1700948809
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
41179 Issued in CA
Legal business name
JULIE L GREENLAW DDS APC
Practice address
112 La Casa Via
Suite 202
Walnut Creek, CA 94598-3091
Phone
(925) 934-1340
Fax
(925) 256-7790
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Julie Louise Greenlaw, DDSNPI 1598113029
Title
Dentist Owner President
Phone
(925) 934-1340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 41179 CA Primary

Addresses

Primary practice location

112 La Casa Via
Suite 202
Walnut Creek, CA 94598-3091

Mailing address

112 La Casa Via
#202
Walnut Creek, CA 94598-3091
Phone (925) 934-1340

National Provider Directory

National Provider Directory

Locations

112 La Casa Via
Ste 202
Walnut Creek, CA 94598
Phone (925) 934-1340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1700948809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA",
            "address_2": "#202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983091",
            "telephone_number": "925-934-1340",
            "fax_number": "925-256-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA",
            "address_2": "SUITE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983091",
            "telephone_number": "925-934-1340",
            "fax_number": "925-256-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE L GREENLAW DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "GREENLAW",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DENTIST  OWNER PRESIDENT",
        "authorized_official_telephone_number": "925-934-1340",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.