Active NPI
Elmirra Jeaninah M Dayrit, DDS
- General Practice Dentistry
- Antioch, CA
National Provider Identifier
1841751310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D105297
- Practice address
- 3107 Lone Tree Way Ste a
Antioch, CA 94509-4959 - Phone
- (925) 757-5081
- NPI assigned
- Mar 27, 2019
- Last updated
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D105297 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
3107 Lone Tree Way Ste a
Antioch, CA 94509-4959
Mailing address
21709 Meekland Ave Unit D
Hayward, CA 94541-3819
Phone (510) 589-1014
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
| License | State | Type | Specialty |
|---|---|---|---|
| D105297 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmirra Dayrit DDS Inc | General Practice | Current | Accepting new patients |
| R. L. Keller DDS & Daniel F. Burk DDS | General Practice | Past | Accepting new patients |
Locations
3107 Lone Tree Way
Ste A
Antioch, CA 94509
Phone (925) 757-5081
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Antioch, CA
- NPI 1174906887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1841751310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21709 MEEKLAND AVE UNIT D",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413819",
"telephone_number": "510-589-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 LONE TREE WAY STE A",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094959",
"telephone_number": "925-757-5081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYRIT",
"first_name": "ELMIRRA",
"middle_name": "JEANINAH M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2022-02-22",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "D105297",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.