Individual provider Active NPI

Catherine Julia Varsanyi, DDS

  • General Practice Dentistry
  • Los Altos Hills, CA
National Provider Identifier
1376094474
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
65118 Issued in CA
Practice address
12631 Miraloma Way
Los Altos Hills, CA 94024-4764
Phone
(650) 814-5267
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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 65118 CA Primary

Addresses

Primary practice location

12631 Miraloma Way
Los Altos Hills, CA 94024-4764

Mailing address

12631 Miraloma Way
Los Altos Hills, CA 94024-4764
Phone (650) 814-5267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170714002873 CA Order and Referring Only - DentistPractitioner - Dentist 3173893658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1376094474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 MIRALOMA WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940244764",
            "telephone_number": "650-814-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 MIRALOMA WAY",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940244764",
            "telephone_number": "650-814-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARSANYI",
        "first_name": "CATHERINE",
        "middle_name": "JULIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos Hills, CA

Sources for this page

Verify at the official NPI Registry.