DO DDS Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DO DDS CORP

Doing business as

Parkside Pediatric Dentists

Practice address

2875 Willow Pass Rd
Concord, CA 94519-2553

Phone

(925) 689-2800

Fax

(925) 689-2310

NPI assigned

Oct 23, 2024

Last updated

Oct 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Howerton

Title

Office Manager

Phone

(925) 689-2800

Specialties & licenses 1

Addresses

Other names 1

• Parkside Pediatric Dentists Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Don DO, DDS

  • Pediatric Dentistry
  • Concord, CA
  • NPI 1255749644
  NPD
• Jason Marlow Renner, D.D.S.

  • Dentist
  • Concord, CA
  • NPI 1942416441
  NPD (past)
• Richard Carl Rissel, D.M.D.

  • Pediatric Dentistry
  • Concord, CA
  • NPI 1245237023
  NPD (past)

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1710708631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 WILLOW PASS RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192553",
            "telephone_number": "925-689-2800",
            "fax_number": "925-689-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 WILLOW PASS RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192553",
            "telephone_number": "925-689-2800",
            "fax_number": "925-689-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "HOWERTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-689-2800"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Pediatric Dentists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kim Dixon, PSY.D.
• Taya Dixon
• Madison Dominic Dizon
• Tina Marie Djudjo
• Emily Rose Dmytryk
• Bryan DO
• Don DO, DDS
• Linda DO
• Linda DO
• Tammy Minh Anh DO

• Pediatric Dentistry in Concord, CA
• Providers in Concord, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.