Refaee Dental Office Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44769 Issued in CA

Legal business name

REFAEE DENTAL OFFICE INC

Doing business as

Bonaventura Dental Care

Practice address

2680 N 1St St
Suite # 100
San Jose, CA 95134-2025

Phone

(408) 943-9443

Fax

(408) 943-8929

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David A Refaee, D.D.S.NPI 1194925354

Title

Provider

Phone

(408) 943-9443

Specialties & licenses 1

Addresses

Other names 1

• BONAVENTURA DENTAL CARE Doing business as

Locations

Practitioners 2

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

• David A Refaee, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1194925354
  NPD (past) Authorized official
• Kathy K Ansarinia, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1043400294
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1548388705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 N 1ST ST",
            "address_2": "SUITE # 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342025",
            "telephone_number": "408-943-9443",
            "fax_number": "408-943-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 N 1ST ST",
            "address_2": "SUITE # 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342025",
            "telephone_number": "408-943-9443",
            "fax_number": "408-943-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFAEE DENTAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "REFAEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "408-943-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONAVENTURA DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Kate Reese, PH.D.
• Jeffrey Hurn Reese, MD
• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation (Kids Care Dental & Orthodontics - San Jose)
• Katrina Reeves
• Sachi Lovely Reeves
• David A Refaee, D.D.S.
• Jacqueline Nicole Refo, LCSW
• Agnes Samu Refy, RPT
• Delia Maria Regalado Virgen
• Barbara Lynn Regan, MFT

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.