Individual provider Active NPI

Jacob L Devinney, DDS

  • General Practice Dentistry
  • Pleasanton, CA
National Provider Identifier
1770857856
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61148 Issued in CA
Practice address
5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052
Phone
(949) 400-5254
Fax
(925) 484-0346
NPI assigned
Mar 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61148 CA Primary

Addresses

Primary practice location

5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052

Mailing address

5000 Pleasanton Ave Ste 110
Pleasanton, CA 94566-7052
Phone (949) 400-5254

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
61148CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mehrnaz Jamali MD Inc CurrentSince Jul 24, 2022 Accepting new patients
Jacob Devinney DDS Inc General Practice CurrentSince Jul 24, 2022 Accepting new patients

Locations

5000 Pleasanton Ave
Ste 110
Pleasanton, CA 94566
Phone (925) 484-4406

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": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770857856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PLEASANTON AVE STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667052",
            "telephone_number": "949-400-5254",
            "fax_number": "925-484-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PLEASANTON AVE STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667052",
            "telephone_number": "949-400-5254",
            "fax_number": "925-484-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINNEY",
        "first_name": "JACOB",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61148",
            "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 Jul 21, 2022; 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.