Active NPI
Gregory K. Rabitz, D.D.S., a Professional Corporation
- Dental Clinic/Center
- San Jose, CA
National Provider Identifier
1447701420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 47781
- Legal business name
- GREGORY K. RABITZ, D.D.S., A PROFESSIONAL CORPORATION
- Practice address
- 1600 Willow St
Ste 250
San Jose, CA 95125-5115 - Phone
- (408) 309-4323
- Fax
- (408) 827-4059
- NPI assigned
- Oct 14, 2016
- Organization subpart
- No
NPPES NPI Registry
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
- Dentist
- Phone
- (408) 309-4323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 47781 | CA | Primary |
Addresses
Primary practice location
1600 Willow St
Ste 250
San Jose, CA 95125-5115
Mailing address
15466 Los Gatos Blvd
#109218
Los Gatos, CA 95032-2542
Phone (408) 309-4323
National Provider Directory
National Provider DirectoryLocations
15466 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 358-5086
1600 Willow St
Ste 250
San Jose, CA 95125
Phone (408) 309-4323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476403200000",
"number": "1447701420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15466 LOS GATOS BLVD",
"address_2": "#109218",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322542",
"telephone_number": "408-309-4323",
"fax_number": "408-827-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 WILLOW ST",
"address_2": "STE 250",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951255115",
"telephone_number": "408-309-4323",
"fax_number": "408-827-4059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREGORY K. RABITZ, D.D.S., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-14",
"last_updated": "2016-10-14",
"status": "A",
"authorized_official_last_name": "RABITZ",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "KIRK",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "408-309-4323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "47781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.