Patrick G Duffy DDS, MD Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

59005 Issued in CA

Legal business name

PATRICK G DUFFY DDS, MD INC

Practice address

2147 Mowry Ave
Suite A1
Fremont, CA 94538-1724

Phone

(510) 574-1868

NPI assigned

Oct 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Giles Duffy, DDS, MD

Title

Owner

Phone

(415) 640-8595

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anand Murthy

  • Oral and Maxillofacial Surgery (Dentist)
  • Fremont, CA
  • NPI 1952890881
  NPD
• Alfred Shoalan Ding, D.D.S., M.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Fremont, CA
  • NPI 1699837096
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1821340415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 EDGEWOOD PL",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "94002",
            "telephone_number": "451-640-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 MOWRY AVE",
            "address_2": "SUITE A1",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381724",
            "telephone_number": "510-574-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK G DUFFY DDS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "GILES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-640-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER NPI NUMBER",
            "identifier": "1639174667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways to Services Development
• Sheetal K Patil, BDS
• Julissa Gonzalez Patino
• Asma Patras, RN
• Patricia Sing Choi DDS, Ms, Inc
• Karen Patrick
• Christopher Patterson, D.D.S.
• Nancy Jean Patterson, LCSW
• Annessa Emilia Patton
• Manorama Rani G Patwa

• Dental Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.