Organization Active NPI

J. Brent Gorrell, DDS

  • Dental Clinic/Center
  • Mountain View, CA
National Provider Identifier
1215239819
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
28559 Issued in CA
Legal business name
J. BRENT GORRELL, DDS
Practice address
809 Cuesta Dr
Suite 205
Mountain View, CA 94040-3667
Phone
(650) 967-1441
Fax
(650) 967-7341
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. James Brent Gorrell, D.D.S.NPI 1043228208
Title
Dentist
Phone
(650) 967-1441

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 28559 CA Primary

Addresses

Primary practice location

809 Cuesta Dr
Suite 205
Mountain View, CA 94040-3667

Mailing address

809 Cuesta Dr
Suite 205
Mountain View, CA 94040-3667
Phone (650) 967-1441

National Provider Directory

National Provider Directory

Locations

809 Cuesta Dr
Ste 205
Mountain View, CA 94040
Phone (650) 399-9657

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1215239819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CUESTA DR",
            "address_2": "SUITE 205",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403667",
            "telephone_number": "650-967-1441",
            "fax_number": "650-967-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CUESTA DR",
            "address_2": "SUITE 205",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403667",
            "telephone_number": "650-967-1441",
            "fax_number": "650-967-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. BRENT GORRELL, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "GORRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-967-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "28559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.