David Nisenboym, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

63382 Issued in CA

Legal business name

DAVID NISENBOYM, DDS, INC.

Practice address

2439 Ocean Ave
San Francisco, CA 94127-2606

Phone

(415) 334-1737

NPI assigned

Oct 20, 2017

Last updated

Oct 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Nisenboym, DDSNPI 1821425166

Title

Dentist

Phone

(916) 704-0974

Specialties & licenses 1

Addresses

Locations

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.

• David Nisenboym, DDS

  • Dentist
  • Walnut Creek, CA
  • NPI 1821425166
  Authorized official Same address or phone
• Katherine Gail De Luna, D.D.S.

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1063548733
  NPD (past)
• Richard David Rozen, DDS

  • Dentist
  • San Francisco, CA
  • NPI 1063620995
  NPD (past)

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1932610664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SACRAMENTO ST APT 10",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093671",
            "telephone_number": "916-704-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 OCEAN AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941272606",
            "telephone_number": "415-334-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID NISENBOYM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "NISENBOYM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-704-0974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "63382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David T. Duong, M.D., PH.D.

• Dental Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.