Brandon Diep, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109520 Issued in CA

Practice address

3746 Fallon Rd
Dublin, CA 94568-7400

Phone

(925) 803-0100

NPI assigned

Oct 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dean Lambridis and Amardeep Gill Dental Corporation

  • Dentist
  • Dublin, CA
  • NPI 1720403090
  NPD (past)
• Fallon Dental Group

  • Dentist
  • Dublin, CA
  • NPI 1053867622
  NPD (past)

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1750161410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 BANBURY DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 FALLON RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687400",
            "telephone_number": "925-803-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEP",
        "first_name": "BRANDON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Dias
• Paola Monica Diaz-Garrucho
• Brandon Diaz
• Edlyn Diaz
• Vanderlie Diaz
• Alissa Dieteman
• Digital Motion X-Ray of California
• Darbi Dillon
• Lizbeth Dimas Cuevas
• Direct Hospice Care, Inc.

• All providers in Dublin, CA
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.