Organization Active NPI

Mission Hills Endodontics, a Dental Practice

  • Endodontics
  • Fremont, CA
National Provider Identifier
1922106368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
39619 Issued in CA
Legal business name
MISSION HILLS ENDODONTICS, A DENTAL PRACTICE
Practice address
39572 Stevenson PL
Suite 121
Fremont, CA 94539-3075
Phone
(510) 794-6600
Fax
(510) 794-1525
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William C Cliff, DDS, MSDNPI 1588763155
Title
General Partner
Phone
(510) 794-6600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 39619 CA Primary

Addresses

Primary practice location

39572 Stevenson PL
Suite 121
Fremont, CA 94539-3075

Mailing address

39572 Stevenson PL
Suite 121
Fremont, CA 94539-3075
Phone (510) 794-6600

National Provider Directory

National Provider Directory

Locations

39572 Stevenson Pl
Ste 121
Fremont, CA 94539
Phone (510) 794-6600

Practitioners & affiliated clinicians

Practitioners 3

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922106368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL",
            "address_2": "SUITE 121",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393075",
            "telephone_number": "510-794-6600",
            "fax_number": "510-794-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL",
            "address_2": "SUITE 121",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393075",
            "telephone_number": "510-794-6600",
            "fax_number": "510-794-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HILLS ENDODONTICS, A DENTAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "510-794-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "39619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.