Philip Robert Letts, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43360 Issued in CA

Practice address

90 Highland Ave
VHC San Martin Dental Clinic
San Martin, CA 95046-9504

Phone

(408) 686-2211

NPI assigned

Apr 20, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pletts10993@santaclaravalley.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Santa Clara

  dba SCVMC Outpatient Pharmacy

  • Pharmacy
  • San Jose, CA
  • NPI 1891871919
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1417912346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HIGHLAND AVE",
            "address_2": "VHC SAN MARTIN DENTAL CLINIC",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469504",
            "telephone_number": "408-686-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTS",
        "first_name": "PHILIP",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline B Intoc, LVN
• George Jimenez
• Joshua M Kimpo
• Lauren Kovach-Long
• Ivana Marie Lai, RN
• Conception Macias, R.N.
• Tamara M Mallare
• Joann R. Martin, M.A., BCABA
• Nubia Medina, MD
• Elizabeth Ann Mendoza-Levy, MD

• General Practice Dentistry in San Martin, CA
• Providers in San Martin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.