Organization Active NPI

Harsono Dental Corp

  • General Practice Dentistry
  • Los Gatos, CA
National Provider Identifier
1225588254
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64977 Issued in CA
Legal business name
HARSONO DENTAL CORP
Practice address
431 Monterey Ave Ste 6
Los Gatos, CA 95030-5319
Phone
(408) 354-1717
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2025

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

Authorized official

Name
Dr. Masly Harsono, DMD, MSNPI 1669893731
Title
Owner
Phone
(646) 338-7593

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 64977 CA Primary

Addresses

Primary practice location

431 Monterey Ave Ste 6
Los Gatos, CA 95030-5319

Mailing address

431 Monterey Ave Ste 6
Los Gatos, CA 95030-5319
Phone (408) 354-1717

Other practice location 1

505 South Dr Ste 3
Mountain View, CA 94040-4210
Phone (650) 964-8484

National Provider Directory

National Provider Directory

Locations

431 Monterey Ave
Ste 6
Los Gatos, CA 95030
Phone (408) 354-1717

505 South Dr
Ste 3
Mountain View, CA 94040
Phone (650) 964-8484

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": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765670400000",
    "number": "1225588254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MONTEREY AVE STE 6",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305319",
            "telephone_number": "408-354-1717",
            "fax_number": "408-395-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MONTEREY AVE STE 6",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305319",
            "telephone_number": "408-354-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 South Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404210",
            "country_code": "US",
            "telephone_number": "650-964-8484",
            "fax_number": "650-964-8485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARSONO DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A",
        "authorized_official_last_name": "HARSONO",
        "authorized_official_first_name": "MASLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-338-7593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64977",
            "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 Dec 14, 2025; 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.