Individual provider Active NPI

Eric R Nagareda, D.D.S.

  • General Practice Dentistry
  • Gilroy, CA
National Provider Identifier
1851508022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27466 Issued in CA
Practice address
7880 Wren Ave
Suite D141
Gilroy, CA 95020-4943
Phone
(408) 847-0795
Fax
(408) 847-0796
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 27466 CA Primary

Addresses

Primary practice location

7880 Wren Ave
Suite D141
Gilroy, CA 95020-4943

Mailing address

7880 Wren Ave
Suite D141
Gilroy, CA 95020-4943
Phone (408) 847-0795

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
27466CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851508022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE D141",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-847-0795",
            "fax_number": "408-847-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 WREN AVE",
            "address_2": "SUITE D141",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204943",
            "telephone_number": "408-847-0795",
            "fax_number": "408-847-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAREDA",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.