Organization Active NPI

Dentabliss Dental

  • Dental Anesthesiology
  • San Ramon, CA
National Provider Identifier
1811397383
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
58382 Issued in CA
Legal business name
DENTABLISS DENTAL
Practice address
111 Deerwood Rd
Suite 170
San Ramon, CA 94583-4409
Phone
(925) 391-0091
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Dr. Cheri A Dang
Title
Owner/President
Phone
(818) 800-4868

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental AnesthesiologyGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0004X 58382 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 58382 CA

Addresses

Primary practice location

111 Deerwood Rd
Suite 170
San Ramon, CA 94583-4409

Mailing address

111 Deerwood Rd
Suite 170
San Ramon, CA 94583-4409
Phone (925) 391-0091

Other names 1

  • DentaBliss Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1811397383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD",
            "address_2": "SUITE 170",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834409",
            "telephone_number": "925-391-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD",
            "address_2": "SUITE 170",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834409",
            "telephone_number": "925-391-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTABLISS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-800-4868",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "58382",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentaBliss",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.