Persimmon Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47722 Issued in CA

Legal business name

PERSIMMON DENTAL CARE

Doing business as

Persimmon Dental Care

Practice address

5281 Martinelli Way
Dublin, CA 94568-7136

Phone

(925) 999-8282

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Charles Giang, DMD

Title

Dentist

Phone

(925) 999-8282

Specialties & licenses 1

Addresses

Other names 1

• Persimmon Dental Care Doing business as

Locations

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1972977510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 MARTINELLI WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687136",
            "telephone_number": "925-999-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5281 MARTINELLI WAY",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687136",
            "telephone_number": "925-999-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSIMMON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "GIANG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-999-8282",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Persimmon Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Dublin, CA
• Providers in Dublin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.