Organization Active NPI

Payne Dental Corporation

  • Dental Clinic/Center
  • Los Gatos, CA
National Provider Identifier
1184921082
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
59792 Issued in CA
Legal business name
PAYNE DENTAL CORPORATION
Practice address
250 Blossom Hill Rd
Suite 100
Los Gatos, CA 95032-4400
Phone
(408) 912-7555
Fax
(408) 782-2205
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Martha Catalina Payne, D.M.D.NPI 1841507084
Title
Dentist/ President
Phone
(408) 912-7555

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 59792 CA Primary

Addresses

Primary practice location

250 Blossom Hill Rd
Suite 100
Los Gatos, CA 95032-4400

Mailing address

6236 Omaha CT
San Jose, CA 95123-5521
Phone (408) 912-7555

National Provider Directory

National Provider Directory

Locations

250 Blossom Hill Rd
Ste 100
Los Gatos, CA 95032
Phone (408) 354-5600

Practitioners & affiliated clinicians

Practitioners 1

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": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1184921082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 OMAHA CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235521",
            "telephone_number": "408-912-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM HILL RD",
            "address_2": "SUITE 100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324400",
            "telephone_number": "408-912-7555",
            "fax_number": "408-782-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "CATALINA",
        "authorized_official_title_or_position": "DENTIST/ PRESIDENT",
        "authorized_official_telephone_number": "408-912-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.