NPIMap

Organization Active NPI

Gordon Nagare DDS Inc

  • General Practice Dentistry
  • San Mateo, CA
National Provider Identifier
1508976853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24045 Issued in CA
Legal business name
GORDON NAGARE DDS INC
Practice address
256 N San Mateo Dr
Suite #4
San Mateo, CA 94401-2624
Phone
(650) 342-5721
Fax
(650) 342-8626
NPI assigned
Aug 30, 2006
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
Gordon Nagare, DDSNPI 1215043476
Title
President
Phone
(650) 342-5721

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24045 CA Primary

Addresses

Primary practice location

256 N San Mateo Dr
Suite #4
San Mateo, CA 94401-2624

Mailing address

256 N San Mateo Dr
Suite #4
San Mateo, CA 94401-2624
Phone (650) 342-5721

National Provider Directory

National Provider Directory

Locations

256 N San Mateo Dr
Ste 4
San Mateo, CA 94401
Phone (650) 342-5721

Practitioners & affiliated clinicians

Practitioners 3

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508976853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 N SAN MATEO DR",
            "address_2": "SUITE #4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012624",
            "telephone_number": "650-342-5721",
            "fax_number": "650-342-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 N SAN MATEO DR",
            "address_2": "SUITE #4",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012624",
            "telephone_number": "650-342-5721",
            "fax_number": "650-342-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON NAGARE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGARE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-342-5721",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, 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.