NPIMap

Organization Active NPI

Macias and Crespo Dental Corporation

  • Dental Clinic/Center
  • San Pablo, CA
National Provider Identifier
1942674734
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
44805 Issued in CA
Legal business name
MACIAS AND CRESPO DENTAL CORPORATION
Practice address
2232 Road 20
San Pablo, CA 94806-3318
Phone
(510) 236-5640
NPI assigned
Nov 17, 2015
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Paul Steven Crespo, D.D.S.NPI 1033287495
Title
President
Phone
(510) 236-5640

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
Dental Clinic/Center 261QD0000X 44805 CA Primary

Addresses

Primary practice location

2232 Road 20
San Pablo, CA 94806-3318

Mailing address

2232 Road 20
San Pablo, CA 94806-3318
Phone (510) 236-5640

National Provider Directory

National Provider Directory

Locations

2232 Road 20
San Pablo, CA 94806
Phone (510) 236-5640

Practitioners & affiliated clinicians

Practitioners 4

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": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1942674734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 ROAD 20",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063318",
            "telephone_number": "510-236-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 ROAD 20",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063318",
            "telephone_number": "510-236-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACIAS AND CRESPO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-236-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.