Organization Active NPI

Rupinder Purewal DDS, Inc

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1669921367
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63472 Issued in CA
Legal business name
RUPINDER PUREWAL DDS, INC
Practice address
1569 Lexann Ave
212
San Jose, CA 95121
Phone
(408) 270-2847
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Rupinder Purewal
Title
President
Phone
(408) 406-3731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 63472 CA Primary

Addresses

Primary practice location

1569 Lexann Ave
212
San Jose, CA 95121

Mailing address

1569 Lexann Ave
212
San Jose, CA 95121

National Provider Directory

National Provider Directory

Locations

1569 Lexann Ave
Ste 212
San Jose, CA 95121
Phone (408) 238-5500

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1669921367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE",
            "address_2": "212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 LEXANN AVE",
            "address_2": "212",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95121",
            "telephone_number": "408-270-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUPINDER PUREWAL DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "RUPINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-406-3731"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.