NPIMap

Organization Active NPI

Dr Rabitz Pediatric Dental Office

Doing business as Los Gatos Pediatric Dentistry

  • Pediatric Dentistry
  • Los Gatos, CA
National Provider Identifier
1376908731
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR RABITZ PEDIATRIC DENTAL OFFICE
Doing business as
Los Gatos Pediatric Dentistry
Practice address
15827 Los Gatos Blvd Ste B
Los Gatos, CA 95032-3300
Phone
(408) 356-4900
Fax
(408) 356-4997
NPI assigned
Dec 29, 2015
Last updated
Dec 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Dr. Gregory Kirk Rabitz, D.D.S.
Title
President/Pediatric Dentist
Phone
(408) 309-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

15827 Los Gatos Blvd Ste B
Los Gatos, CA 95032-3300

Mailing address

15466 Los Gatos Blvd # 109218
Los Gatos, CA 95032-2542
Phone (408) 309-4323

Other names 1

  • Los Gatos Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15466 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5086

15827 Los Gatos Blvd
Ste B
Los Gatos, CA 95032
Phone (408) 356-4900

Practitioners & affiliated clinicians

Practitioners 4

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1376908731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15466 LOS GATOS BLVD # 109218",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322542",
            "telephone_number": "408-309-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15827 LOS GATOS BLVD STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323300",
            "telephone_number": "408-356-4900",
            "fax_number": "408-356-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RABITZ PEDIATRIC DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "RABITZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "408-309-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Gatos Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2015; 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.