Organization Active NPI

Robertmoneillddsinc

  • General Practice Dentistry
  • Castro Valley, CA
National Provider Identifier
1932311636
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21627 Issued in CA
Legal business name
ROBERTMONEILLDDSINC
Practice address
20054 Lake Chabot Rd
Castro Valley, CA 94546-5304
Phone
(510) 886-1231
Fax
(510) 886-4736
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Robert Michael Oneill, DDSNPI 1659593366
Title
Owner
Phone
(510) 886-1231

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21627 CA Primary

Addresses

Primary practice location

20054 Lake Chabot Rd
Castro Valley, CA 94546-5304

Mailing address

20054 Lake Chabot Rd
Castro Valley, CA 94546-5304
Phone (510) 886-1231

National Provider Directory

National Provider Directory

Locations

20054 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 886-1231

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1932311636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20054 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465304",
            "telephone_number": "510-886-1231",
            "fax_number": "510-886-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20054 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465304",
            "telephone_number": "510-886-1231",
            "fax_number": "510-886-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTMONEILLDDSINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-886-1231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.