NPIMap

Organization Active NPI

Fabrice J Gallez, DDS, Ms, Inc

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1093092686
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
48268 Issued in CA
Legal business name
FABRICE J GALLEZ, DDS, MS, INC
Practice address
2581 Samaritan Dr
Suite #310
San Jose, CA 95124-4113
Phone
(408) 356-9366
Fax
(408) 356-9735
NPI assigned
Nov 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Dr. Fabrice J Gallez, DDS,MSNPI 1265639868
Title
President
Phone
(408) 356-9366

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
Dental Clinic/Center 261QD0000X 48268 CA Primary

Addresses

Primary practice location

2581 Samaritan Dr
Suite #310
San Jose, CA 95124-4113

Mailing address

2581 Samaritan Dr
Suite #310
San Jose, CA 95124-4113

National Provider Directory

National Provider Directory

Locations

2581 Samaritan Dr
Ste 310
San Jose, CA 95124
Phone (408) 356-9366

Practitioners & affiliated clinicians

Practitioners 2

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1093092686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR",
            "address_2": "SUITE #310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR",
            "address_2": "SUITE #310",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244113",
            "telephone_number": "408-356-9366",
            "fax_number": "408-356-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABRICE J GALLEZ, DDS, MS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "GALLEZ",
        "authorized_official_first_name": "FABRICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-356-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48268",
            "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 Nov 9, 2011; 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.