Provider Demographics
NPI:1235312695
Name:DEXCOM, INC.
Entity Type:Organization
Organization Name:DEXCOM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP FINANCE & CHIEF ACCOUNTING OFF
Authorized Official - Prefix:
Authorized Official - First Name:JEREME
Authorized Official - Middle Name:
Authorized Official - Last Name:SYLVAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-203-6538
Mailing Address - Street 1:6340 SEQUENCE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-4356
Mailing Address - Country:US
Mailing Address - Phone:858-200-0200
Mailing Address - Fax:858-875-5324
Practice Address - Street 1:6340 SEQUENCE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121
Practice Address - Country:US
Practice Address - Phone:858-200-0200
Practice Address - Fax:858-875-5324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
CA47936332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6683790001Medicare NSC