Michael S Tobian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36290 Issued in CA

Practice address

301 Lennon LN
Suite 102
Walnut Creek, CA 94598-2483

Phone

(925) 407-1155

Fax

(925) 407-1161

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1922018407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LENNON LN",
            "address_2": "SUITE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982483",
            "telephone_number": "925-407-1155",
            "fax_number": "925-407-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LENNON LN",
            "address_2": "SUITE 102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982483",
            "telephone_number": "925-407-1155",
            "fax_number": "925-407-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAN",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "36290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kit Tittiranonda, MD
• Fatima Tiwana
• Ashley Chiang Tjoe, O.D.
• Angeline Sutomo Tju
• Sarah To, DDS
• Allan David Tobias, MD JD
• Emily Toch, MD, MS
• Jacob Todd
• Matthew Vincent Tognotti, D.D.S.
• Eisaku Tokuyama, L.AC

• Dentist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.