Active NPI
Gregory Kirk Rabitz, D.D.S.
- Pediatric Dentistry
- San Jose, CA
National Provider Identifier
1023007903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 47781
- Practice address
- 100 Oconnor Dr
Suite 11
San Jose, CA 95128-1647 - Phone
- (408) 287-0488
- Fax
- (408) 287-5455
- NPI assigned
- Oct 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 47781 | CA | Primary |
Addresses
Primary practice location
100 Oconnor Dr
Suite 11
San Jose, CA 95128-1647
Mailing address
100 Oconnor Dr
Suite 11
San Jose, CA 95128-1647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47781 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1023007903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OCONNOR DR",
"address_2": "SUITE 11",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OCONNOR DR",
"address_2": "SUITE 11",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281647",
"telephone_number": "408-287-0488",
"fax_number": "408-287-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABITZ",
"first_name": "GREGORY",
"middle_name": "KIRK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "47781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.