Active NPI
Dentabliss Dental
- Dental Anesthesiology
- San Ramon, CA
National Provider Identifier
1811397383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- 58382
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 58382 | CA | Primary |
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.