NPIMap

Organization Active NPI

Sanna Charlie DDS PC

Doing business as Define Dentistry

  • General Practice Dentistry
  • Livermore, CA
National Provider Identifier
1912523234
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SANNA CHARLIE DDS PC
Doing business as
Define Dentistry
Practice address
60 Fenton St Ste 10
Livermore, CA 94550-4148
Phone
(925) 447-8635
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sanna Charlie, DDSNPI 1801255179
Title
Dentist/President
Phone
(925) 895-5268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

60 Fenton St Ste 10
Livermore, CA 94550-4148

Mailing address

PO Box 2812
Dublin, CA 94568-0812

Other names 1

  • Define Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL na Direct

National Provider Directory

National Provider Directory

Locations

60 Fenton St
Ste 10
Livermore, CA 94550
Phone (925) 447-8635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1912523234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2812",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945680812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FENTON ST STE 10",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504148",
            "telephone_number": "925-447-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANNA CHARLIE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "CHARLIE",
        "authorized_official_first_name": "SANNA",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "925-895-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "60 Fenton St Ste 10",
            "city": "Livermore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945504148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Define Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.