Jack Dubin DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27879 Issued in CA

Legal business name

JACK DUBIN DMD INC

Doing business as

dental care westgate

Practice address

1600 Saratoga Ave
613
San Jose, CA 95129-5101

Phone

(408) 379-7700

Fax

(408) 866-8153

NPI assigned

Nov 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Edward Dubin, DMDNPI 1558575613

Title

DMD

Phone

(408) 379-7700

Specialties & licenses 1

Addresses

Other names 1

• dental care westgate Doing business as

Locations

Practitioners 1

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.

• Jack E Dubin, D.M.D.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1558575613
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326114471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SARATOGA AVE",
            "address_2": "613",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295101",
            "telephone_number": "408-379-7700",
            "fax_number": "408-866-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARATOGA AVE",
            "address_2": "613",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295101",
            "telephone_number": "408-379-7700",
            "fax_number": "408-866-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK DUBIN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "408-379-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "27879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental care westgate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Susan Rea Jaciow
• Jack Siegel, M.D., Inc.
• Jack Tian Acupuncture
• Larica Fantasia Jacko
• Jackson LTC Pharmacy Inc.
• Brandi Nicole Jackson, MSW

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• 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.