Active NPI
John Bruce McCleve, DDS
- General Practice Dentistry
- Los Gatos, CA
National Provider Identifier
1619079175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 45147
- Practice address
- 751 Blossom Hill Rd
Suite C
Los Gatos, CA 95032-3583 - Phone
- (408) 356-6650
- Fax
- (408) 356-8170
- NPI assigned
- Sep 3, 2006
- 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 | 45147 | CA | Primary |
Addresses
Primary practice location
751 Blossom Hill Rd
Suite C
Los Gatos, CA 95032-3583
Mailing address
361 N 1St St
Apt. 4
Campbell, CA 95008-1330
Phone (408) 674-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 18, 2016 through Feb 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45147 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619079175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 N 1ST ST",
"address_2": "APT. 4",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081330",
"telephone_number": "408-674-4357",
"fax_number": "408-356-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 BLOSSOM HILL RD",
"address_2": "SUITE C",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950323583",
"telephone_number": "408-356-6650",
"fax_number": "408-356-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEVE",
"first_name": "JOHN",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "45147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.