Organization Active NPI

Raimundo and Marinela Halili, DMD a Professional Corporation Inc.

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1205667748
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAIMUNDO AND MARINELA HALILI, DMD A PROFESSIONAL CORPORATION INC.
Practice address
2004 Tully Rd
San Jose, CA 95122-1845
Phone
(408) 274-5555
Fax
(408) 274-5453
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Dr. Raimundo HaliliNPI 1215129598
Title
President
Phone
(408) 274-5555

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 Primary

Addresses

Primary practice location

2004 Tully Rd
San Jose, CA 95122-1845

Mailing address

2004 Tully Rd
San Jose, CA 95122-1845
Phone (408) 274-5555

National Provider Directory

National Provider Directory

Locations

2004 Tully Rd
San Jose, CA 95122
Phone (408) 274-5555

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1205667748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221845",
            "telephone_number": "408-274-5555",
            "fax_number": "408-274-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221845",
            "telephone_number": "408-274-5555",
            "fax_number": "408-274-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAIMUNDO AND MARINELA HALILI, DMD A PROFESSIONAL CORPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HALILI",
        "authorized_official_first_name": "RAIMUNDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-274-5555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Aug 7, 2024; 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.