Active NPI
Chris Matsunaga, DDS
- Dentist
- Walnut Creek, CA
National Provider Identifier
1912117540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38561
- Practice address
- 1402 Maria LN
Walnut Creek, CA 94596-5313 - Phone
- (925) 934-4777
- Fax
- (925) 934-9131
- NPI assigned
- May 23, 2007
- Sex
- Male
- 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 | 38561 | CA | Primary |
Addresses
Primary practice location
1402 Maria LN
Walnut Creek, CA 94596-5313
Mailing address
1402 Maria Lane
Walnut Creek, CA 94596-5313
Phone (925) 934-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41836586 | Other | CA | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912117540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 MARIA LANE",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965313",
"telephone_number": "925-934-1777",
"fax_number": "925-934-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 MARIA LN",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965313",
"telephone_number": "925-934-4777",
"fax_number": "925-934-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUNAGA",
"first_name": "CHRIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA TAX ID",
"identifier": "41836586",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, 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.