Novato Family Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43841 Issued in CA

Legal business name

NOVATO FAMILY DENTAL CARE

Practice address

7460 Redwood Blvd
Novato, CA 94945-2457

Phone

(415) 897-3914

Fax

(415) 898-6677

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Joyce Vizza

Title

Office Manager

Phone

(415) 897-3914

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent John Freemantle, DDS

  • General Practice Dentistry
  • Novato, CA
  • NPI 1164689121
  NPD (past)
• Clayton Joseph Perry, D.D.S.

  • General Practice Dentistry
  • Novato, CA
  • NPI 1396812731
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932276003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 REDWOOD BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452457",
            "telephone_number": "415-897-3914",
            "fax_number": "415-898-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 REDWOOD BLVD",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452457",
            "telephone_number": "415-897-3914",
            "fax_number": "415-898-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVATO FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIZZA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-897-3914"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43841",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novato Acupuncture and Herb Clinic Inc
• Novato Back Care and Sports Physical Therapy
• Novato Charter School
• Novato Dermatology Associates a Medical Corporation
• Novato Endoscopy Center LLC
• Novato Fire Protection District
• Novato Healthcare Center, LLC
• Novato Internal Medicine Associates
• Novato Unified School District
• Maya Noyman-Fain, M.D.

• General Practice Dentistry in Novato, CA
• Providers in Novato, CA by specialty
• General Practice Dentistry in California

• 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.