Individual provider Active NPI

Paul Anthony Lippi, D.D.S.

  • General Practice Dentistry
  • Los Gatos, CA
National Provider Identifier
1366543993
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35634 Issued in CA
Practice address
246 Blossom Hill Rd
Los Gatos, CA 95032-4420
Phone
(408) 354-5535
Fax
(408) 354-5110
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35634 CA Primary

Addresses

Primary practice location

246 Blossom Hill Rd
Los Gatos, CA 95032-4420

Mailing address

246 Blossom Hill Rd
Los Gatos, CA 95032-4420
Phone (408) 354-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35634CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1366543993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 BLOSSOM HILL RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324420",
            "telephone_number": "408-354-5535",
            "fax_number": "408-354-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 BLOSSOM HILL RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324420",
            "telephone_number": "408-354-5535",
            "fax_number": "408-354-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPI",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35634",
            "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 Nov 7, 2008; 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.