NPIMap

Organization Active NPI

Smile Center Silicon Valley

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1083966451
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29513 Issued in CA
Legal business name
SMILE CENTER SILICON VALLEY
Practice address
877 W Fremont Ave
Suite L3
Sunnyvale, CA 94087-2315
Phone
(408) 245-7500
Fax
(408) 746-5820
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Ashton Vellequette, DDSNPI 1336547223
Title
Business Owner/Dentist
Phone
(408) 245-7500

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29513 CA Primary

Addresses

Primary practice location

877 W Fremont Ave
Suite L3
Sunnyvale, CA 94087-2315

Mailing address

877 W Fremont Ave
Suite L3
Sunnyvale, CA 94087-2315
Phone (408) 245-7500

National Provider Directory

National Provider Directory
Tax ID family
Dr John Ashton Vellequette DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

877 W Fremont Ave
Ste L3
Sunnyvale, CA 94087
Phone (408) 245-7500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1083966451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "SUITE L3",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-245-7500",
            "fax_number": "408-746-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "SUITE L3",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-245-7500",
            "fax_number": "408-746-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTER SILICON VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "VELLEQUETTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ASHTON",
        "authorized_official_title_or_position": "BUSINESS OWNER/DENTIST",
        "authorized_official_telephone_number": "408-245-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.