Individual provider Active NPI

Katherina N Michelle Sternitzky White, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1164645628
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43743 Issued in CA
Practice address
5595 Winfield Blvd
Suite 212
San Jose, CA 95123-1220
Phone
(408) 365-7767
Fax
(408) 367-7375
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43743 CA Primary

Addresses

Primary practice location

5595 Winfield Blvd
Suite 212
San Jose, CA 95123-1220

Mailing address

5595 Winfield Blvd
Suite 212
San Jose, CA 95123-1220
Phone (408) 365-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
43743CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Solmaz Forutan, DMD, Inc. PastSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164645628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD",
            "address_2": "SUITE 212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220",
            "telephone_number": "408-365-7767",
            "fax_number": "408-367-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 WINFIELD BLVD",
            "address_2": "SUITE 212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231220",
            "telephone_number": "408-365-7767",
            "fax_number": "408-367-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNITZKY WHITE",
        "first_name": "KATHERINA",
        "middle_name": "N MICHELLE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43743",
            "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 Jul 8, 2007; 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.