Active NPI
Martha E Barragan DDS,Inc
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1063582625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42523
- Legal business name
- MARTHA E BARRAGAN DDS,INC
- Practice address
- 634 N 13TH St
San Jose, CA 95112 - Phone
- (408) 288-5490
- Fax
- (408) 288-4072
- NPI assigned
- Nov 9, 2006
- Organization subpart
- Yes
- Parent organization
- MARTHA E BARRAGAN DDS,INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Martha Ernestina Barragan, DDS
- Title
- Owner / President
- Phone
- (408) 288-5490
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42523 | CA | Primary |
Addresses
Primary practice location
634 N 13TH St
San Jose, CA 95112
Mailing address
634 N 13TH St
San Jose, CA 95112
Phone (408) 288-5490
National Provider Directory
National Provider Directory- Part of
- Martha E Barragan Ddsinc
Locations
634 N 13th St
San Jose, CA 95112
Phone (408) 288-5490
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1669542304
-
- Dentist
- San Jose, CA
- NPI 1073921706
-
- Dentist
- San Jose, CA
- NPI 1649996257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222905600000",
"number": "1063582625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 N 13TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-288-5490",
"fax_number": "408-288-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 N 13TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95112",
"telephone_number": "408-288-5490",
"fax_number": "408-288-4072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTHA E BARRAGAN DDS,INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARTHA E BARRAGAN DDS,INC",
"enumeration_date": "2006-11-09",
"last_updated": "2008-10-02",
"status": "A",
"authorized_official_last_name": "BARRAGAN",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "ERNESTINA",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "408-288-5490",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42523",
"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 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.