Individual provider Active NPI

Anthony Joseph Allegretti, D.D.S

  • Dentist
  • San Jose, CA
National Provider Identifier
1396859534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D 20807 Issued in CA
Practice address
6040 Crossview Cir
San Jose, CA 95120-1530
Phone
(408) 268-5542
Fax
(408) 268-9543
NPI assigned
Aug 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D 20807 CA Primary

Addresses

Primary practice location

6040 Crossview Cir
San Jose, CA 95120-1530

Mailing address

6040 Crossview Cir
San Jose, CA 95120-1530
Phone (408) 268-5542

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
I20160428000969 CA Order and Referring Only - DentistPractitioner - Dentist 0749589596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D 20807CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396859534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 CROSSVIEW CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951201530",
            "telephone_number": "408-268-5542",
            "fax_number": "408-268-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 CROSSVIEW CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951201530",
            "telephone_number": "408-268-5542",
            "fax_number": "408-268-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEGRETTI",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D 20807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.