NPIMap

Organization Active NPI

Sierra Kress Dental

Doing business as Creative Dimensions in Dentistry

  • Dental Clinic/Center
  • Castro Valley, CA
National Provider Identifier
1932811734
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIERRA KRESS DENTAL
Doing business as
Creative Dimensions in Dentistry
Practice address
20265 Lake Chabot Rd
Castro Valley, CA 94546-5307
Phone
(510) 881-8010
NPI assigned
Dec 23, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Dr. Kevin James Cabugao, DDS
Title
Owner
Phone
(707) 529-6576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

20265 Lake Chabot Rd
Castro Valley, CA 94546-5307

Mailing address

11 Duffy CT
Pleasant Hill, CA 94523-1707
Phone (707) 529-6576

Other practice location 1

345 Estudillo Ave Ste 205
San Leandro, CA 94577-4727
Phone (510) 895-1776

Other names 1

  • Creative Dimensions in Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

20265 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 537-3050

345 Estudillo Ave
Ste 205
San Leandro, CA 94577
Phone (510) 423-3446

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1932811734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUFFY CT",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231707",
            "telephone_number": "707-529-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465307",
            "telephone_number": "510-881-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Estudillo Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774727",
            "country_code": "US",
            "telephone_number": "510-895-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIERRA KRESS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "CABUGAO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-529-6576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Dimensions in Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 23, 2022; 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.