Active NPI
Lidia Albert-Costisevschi, D.D.S.
- Dentist
- Concord, CA
National Provider Identifier
1912036252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40782
- Practice address
- 2877 Willow Pass Rd
Concord, CA 94519-2553 - Phone
- (925) 685-0510
- Fax
- (925) 685-0546
- NPI assigned
- Mar 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40782 | CA | Primary |
Addresses
Primary practice location
2877 Willow Pass Rd
Concord, CA 94519-2553
Mailing address
2877 Willow Pass Rd
Concord, CA 94519-2553
Phone (925) 685-0510
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912036252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2877 WILLOW PASS RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192553",
"telephone_number": "925-685-0510",
"fax_number": "925-685-0546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2877 WILLOW PASS RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945192553",
"telephone_number": "925-685-0510",
"fax_number": "925-685-0546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT-COSTISEVSCHI",
"first_name": "LIDIA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, 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.