Organization Active NPI

Saratoga Periodontics & Implants

  • Periodontics
  • Saratoga, CA
National Provider Identifier
1316092661
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
38284 Issued in CA
Legal business name
SARATOGA PERIODONTICS & IMPLANTS
Practice address
1888 Saratoga Ave
Ste 100
Saratoga, CA 95070-4161
Phone
(408) 378-2320
Fax
(408) 374-4610
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dee Nishimine, DDS
Title
President
Phone
(408) 378-2320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 43218 CA
Periodontics 1223P0300X 38284 CA Primary

Addresses

Primary practice location

1888 Saratoga Ave
Ste 100
Saratoga, CA 95070-4161

Mailing address

1888 Saratoga Ave
Ste 100
Saratoga, CA 95070-4161
Phone (408) 378-2320

National Provider Directory

National Provider Directory

Locations

1888 Saratoga Ave
Ste 100
Saratoga, CA 95070
Phone (408) 378-2320

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316092661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 SARATOGA AVE",
            "address_2": "STE 100",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704161",
            "telephone_number": "408-378-2320",
            "fax_number": "408-374-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 SARATOGA AVE",
            "address_2": "STE 100",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704161",
            "telephone_number": "408-378-2320",
            "fax_number": "408-374-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA PERIODONTICS & IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NISHIMINE",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-378-2320",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "43218",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "38284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.