Active NPI
John P O'Grady, D.M.D.
- General Practice Dentistry
- Danville, CA
National Provider Identifier
1861459539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43831
- Practice address
- 520 La Gonda Way
Suite 104
Danville, CA 94526-1741 - Phone
- (925) 820-5585
- Fax
- (925) 820-6040
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43831 | CA | Primary |
Addresses
Primary practice location
520 La Gonda Way
Suite 104
Danville, CA 94526-1741
Mailing address
520 La Gonda Way
Suite 104
Danville, CA 94526-1741
Phone (925) 820-5585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77-0460890 | Other | CA | TAX ID |
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 |
|---|---|---|---|
| 43831 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254873600000",
"number": "1861459539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 LA GONDA WAY",
"address_2": "SUITE 104",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945261741",
"telephone_number": "925-820-5585",
"fax_number": "925-820-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 LA GONDA WAY",
"address_2": "SUITE 104",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945261741",
"telephone_number": "925-820-5585",
"fax_number": "925-820-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADY",
"first_name": "JOHN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2009-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "77-0460890",
"state": "CA"
}
],
"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 Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.