Nora L. Ebio D.M.D., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26383 Issued in CA

Legal business name

NORA L. EBIO D.M.D., D.D.S.

Practice address

1798 Excelsior Ave
Oakland, CA 94602-1707

Phone

(510) 530-6450

Fax

(510) 530-2622

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nora L Ebio, D.M.D., D.D.S

Title

Owner/Dentist

Phone

(510) 530-6450

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1992993240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 EXCELSIOR AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021707",
            "telephone_number": "510-530-6450",
            "fax_number": "510-530-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 EXCELSIOR AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021707",
            "telephone_number": "510-530-6450",
            "fax_number": "510-530-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA L. EBIO D.M.D., D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "EBIO",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "510-530-6450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "26383",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "512613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609991975",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millad Nooraei, MA
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• Natasa Nordman
• Susan Rachel Nordstrom
• Stacey Ann Nordwall

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, 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 Oct 11, 2007; 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.