Organization Active NPI

Kenneth Abe, D.D.S. a Professional Corp

  • Periodontics
  • Los Altos, CA
National Provider Identifier
1477609014
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
KENNETH ABE, D.D.S. A PROFESSIONAL CORP
Practice address
843 Altos Oaks Dr Ste 1
Los Altos, CA 94024-5422
Phone
(650) 941-2168
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kenneth Abe, DDSNPI 1912039967
Title
Owner
Phone
(650) 941-2168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

843 Altos Oaks Dr Ste 1
Los Altos, CA 94024-5422

Mailing address

843 Altos Oaks Dr Ste 1
Los Altos, CA 94024-5422
Phone (650) 941-2168

National Provider Directory

National Provider Directory

Locations

843 Altos Oaks Dr
Ste 1
Los Altos, CA 94024
Phone (650) 941-2168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477609014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 ALTOS OAKS DR STE 1",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245422",
            "telephone_number": "650-941-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 ALTOS OAKS DR STE 1",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245422",
            "telephone_number": "650-941-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH ABE, D.D.S. A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-941-2168",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.