EVANGELISTA DENTAL GROUP WALNUT CREEK, PC – NPI #1275461832
Clinic/Center

EVANGELISTA DENTAL GROUP WALNUT CREEK, PC is an AHC clinic located in WALNUT CREEK, CA. NPPES recently assigned the NPI number 1275461832 to EVANGELISTA DENTAL GROUP WALNUT CREEK, PC on May 12, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVANGELISTA DENTAL GROUP WALNUT CREEK, PC below.

NPI Profile for
EVANGELISTA DENTAL GROUP WALNUT CREEK, PC

NPI Number
1275461832
Enumeration Date

(about 4 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVANGELISTA DENTAL GROUP WALNUT CREEK, PC
Primary location
1901 OLYMPIC BLVD STE 105
WALNUT CREEK, CA 94596-5024
Phone: (925) 935-3030 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CASEY CASTLE
DIRECTOR OF PAYOR CONTRACTING
Phone: (912) 732-1504
Updated
Certification Date
May 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.