Organization Active NPI

Ageless DDS Center

  • Acupuncturist
  • Sunnyvale, CA
National Provider Identifier
1336916964
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
AGELESS DDS CENTER
Practice address
830 Stewart Dr Ste 283
Sunnyvale, CA 94085-4513
Phone
(415) 860-0900
NPI assigned
Dec 5, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
NA LuoNPI 1659154854
Title
Owner
Phone
(415) 860-0900

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
Acupuncturist 171100000X Primary

Addresses

Primary practice location

830 Stewart Dr Ste 283
Sunnyvale, CA 94085-4513

Mailing address

21278 Sweet LN
Castro Valley, CA 94546-6232

National Provider Directory

National Provider Directory

Locations

3080 Olcott St
Santa Clara, CA 95054

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1336916964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21278 SWEET LN",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 STEWART DR STE 283",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940854513",
            "telephone_number": "415-860-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS DDS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "NA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-860-0900"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.