Active NPI
Garrett S Kubota, DDS
- General Practice Dentistry
- Aptos, CA
National Provider Identifier
1457645756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46483
- Practice address
- 7535 Soquel Dr
Aptos, CA 95003-3849 - Phone
- (831) 688-6161
- Fax
- (831) 688-6199
- NPI assigned
- Jun 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46483 | CA | Primary |
Addresses
Primary practice location
7535 Soquel Dr
Aptos, CA 95003-3849
Mailing address
7535 Soquel Dr
Aptos, CA 95003-3849
Phone (831) 688-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1457645756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7535 SOQUEL DR",
"city": "APTOS",
"state": "CA",
"postal_code": "950033849",
"telephone_number": "831-688-6161",
"fax_number": "831-688-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7535 SOQUEL DR",
"city": "APTOS",
"state": "CA",
"postal_code": "950033849",
"telephone_number": "831-688-6161",
"fax_number": "831-688-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBOTA",
"first_name": "GARRETT",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-03",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.