Individual provider Active NPI

Harry J Degirolamo, D.M.D.

  • General Practice Dentistry
  • Danville, CA
National Provider Identifier
1841384872
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D21702 Issued in CA
Practice address
238 Live Oak Dr
Danville, CA 94506-2151
Phone
(925) 736-1332
Fax
(925) 736-4170
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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 D21702 CA Primary

Addresses

Primary practice location

238 Live Oak Dr
Danville, CA 94506-2151

Mailing address

238 Live Oak Dr
Danville, CA 94506-2151
Phone (925) 736-1332

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
D21702CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1841384872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 LIVE OAK DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945062151",
            "telephone_number": "925-736-1332",
            "fax_number": "925-736-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 LIVE OAK DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945062151",
            "telephone_number": "925-736-1332",
            "fax_number": "925-736-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIROLAMO",
        "first_name": "HARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D21702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.