Organization Active NPI

Prosthesis Dental Laboratory, Inc.

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1023257458
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Feb 9, 2009

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.