Active NPI
Denielle C. Medynski, DMD
- Dentist
- Walnut Creek, CA
National Provider Identifier
1972729655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62093
- Practice address
- 1399 Ygnacio Valley Rd Ste 2
Walnut Creek, CA 94598-2830 - Phone
- (707) 225-7338
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 050983 | NY | |
| Dentist | 122300000X | 62093 | CA | Primary |
Addresses
Primary practice location
1399 Ygnacio Valley Rd Ste 2
Walnut Creek, CA 94598-2830
Mailing address
299 Windsor Hwy
New Windsor, NY 12553-6909
Phone (845) 565-3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62093 | CA | MD | Dentist |
| 050983 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denielle C. Medynski, DMD, Inc | Current | Accepting new patients |
Locations
1399 Ygnacio Valley Rd
Ste 2
Walnut Creek, CA 94598
Phone (707) 225-7338
Interoperability endpoints
- denielle@painandheadaches.officeally.direct
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Walnut Creek, CA
- NPI 1063397792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1972729655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 WINDSOR HWY",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125536909",
"telephone_number": "845-565-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1399 YGNACIO VALLEY RD STE 2",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982830",
"telephone_number": "707-225-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDYNSKI",
"first_name": "DENIELLE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "050983",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.