Individual provider Active NPI

Dalia A Ammsso, DDS

  • General Practice Dentistry
  • Brentwood, CA
National Provider Identifier
1922352665
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61962 Issued in CA
Practice address
6660 Lone Tree Way
Suite 7
Brentwood, CA 94513-5370
Phone
(925) 513-8363
Fax
(925) 513-7508
NPI assigned
Nov 2, 2012
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61962 CA Primary

Addresses

Primary practice location

6660 Lone Tree Way
Suite 7
Brentwood, CA 94513-5370

Mailing address

600 Colmar CT
Danville, CA 94506-1938
Phone (925) 964-5777

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170130000435 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608158555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61962CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Amardeep Gill, D.D.S., Inc. Past Accepting new patients
Pacific Dental Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1922352665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COLMAR CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061938",
            "telephone_number": "925-964-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY",
            "address_2": "SUITE 7",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135370",
            "telephone_number": "925-513-8363",
            "fax_number": "925-513-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMSSO",
        "first_name": "DALIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.