Active NPI
Dalia A Ammsso, DDS
- General Practice Dentistry
- Brentwood, CA
National Provider Identifier
1922352665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61962
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170130000435 | CA | Order and Referring Only - Oral Surgery | 6608158555 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61962 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Brentwood, CA
- NPI 1992181911
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
- Kevin James Amaral, PTA
- Amardeep Gill, D.D.S., Inc. (Brentwood Smiles Dental Group)
- Amavi Home Health and Hospice Care Services, Inc.
- Amavi Home Health and Hospice Care Services, Inc.
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- Maria Elizabeth Amodia
- Eliza Amory
- Shavon Anderson
- Sharon Alyce Andrews, MS
- Desirra Gail Angulo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.