Cupertino Dental Specialty Group

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CUPERTINO DENTAL SPECIALTY GROUP

Doing business as

Cupertino Dental Group

Practice address

10373 Torre Avenue
Suite G
Cupertino, CA 95014-9501

Phone

(408) 508-7560

Fax

(408) 508-7530

NPI assigned

Feb 2, 2022

Organization subpart

Yes

Parent organization

CUPERTINO DENTAL GROUP PARTNERSHIPAs reported in NPPES

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

Authorized official

Name

Melina Lucchini

Title

Supervisor

Phone

(408) 257-3031

Specialties & licenses 3

Addresses

Other names 1

• Cupertino Dental Group Doing business as

Tax ID family

Cupertino Dental Specialty Group2 organizations share this tax ID, including this one

Part of

Cupertino Dental Specialty Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cupertino Dental Group Partnership

  • Dentist
  • Cupertino, CA
  • NPI 1134984719
  NPD tax ID

Locations

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1467105031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10383 TORRE AVE STE I",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143238",
            "telephone_number": "408-257-3031",
            "fax_number": "408-508-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 TORRE AVENUE",
            "address_2": "SUITE G",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950149501",
            "telephone_number": "408-508-7560",
            "fax_number": "408-508-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUPERTINO DENTAL SPECIALTY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUPERTINO DENTAL GROUP PARTNERSHIP",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "LUCCHINI",
        "authorized_official_first_name": "MELINA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "408-257-3031"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cupertino Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Robert Culver, D.C.
• Cupertino Acupuncture Professional Corporation
• Cupertino Cosmetic & Family Dentistry
• Cupertino Dental Group Partnership
• Cupertino Dental Ortho-Pedo
• Cupertino Healthcare & Wellness Center LLC
• Cupertino Holistic Healing Clinic,Inc
• Cupertino Medical Center PC
• Cupertino Medical Group PC
• Cupertino Physical Therapy LP

• Oral and Maxillofacial Surgery (Dentist) in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.