Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Nisenboym, DDS

Individual provider Dentist · NPI 1821425166

Dr. David Nisenboym, DDS is a Dentist in Walnut Creek, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

130 Petticoat Ln
Walnut Creek, CA 94596-5017
Phone: (916) 704-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 63382 (CA)

Record details

NPI number1821425166
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 1, 2013
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021
Mailing address130 Petticoat Ln, Walnut Creek, CA 94596-5017

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