Active NPI
Prosthesis Dental Laboratory, Inc.
- General Practice Dentistry
- Milpitas, CA
National Provider Identifier
1023257458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PROSTHESIS DENTAL LABORATORY, INC.
- Practice address
- 1350 S Park Victoria Dr Ste 41
Milpitas, CA 95035-6941 - Phone
- (408) 946-3296
- Fax
- (408) 946-3295
- NPI assigned
- Feb 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ruth A Arciaga
- Title
- Ceo
- Phone
- (408) 941-9257
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1350 S Park Victoria Dr Ste 41
Milpitas, CA 95035-6941
Mailing address
1350 S Park Victoria Dr Ste 41
Milpitas, CA 95035-6941
Phone (408) 946-3296
Other names 1
- DAWN FAMILY DENTAL
National Provider Directory
National Provider DirectoryLocations
1350 S Park Victoria Dr
Ste 41
Milpitas, CA 95035
Phone (408) 946-3296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234137600000",
"number": "1023257458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 S PARK VICTORIA DR STE 41",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950356941",
"telephone_number": "408-946-3296",
"fax_number": "408-946-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S PARK VICTORIA DR STE 41",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950356941",
"telephone_number": "408-946-3296",
"fax_number": "408-946-3295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSTHESIS DENTAL LABORATORY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A",
"authorized_official_last_name": "ARCIAGA",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "408-941-9257",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DAWN FAMILY DENTAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.