Cary M Bishop, D.D.S.
Individual provider Active NPI General Practice Dentistry · Los Altos, CA
NPI 1679658231 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679658231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DA34030 (CA)
- Practice address
- 730 Altos Oaks Dr
Los Altos, CA 94024-5401 - Phone
- (650) 948-1002
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA34030 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DA34030 | CA | Yes |
Addresses
Primary practice location
730 Altos Oaks Dr
Los Altos, CA 94024-5401
Mailing address
730 Altos Oaks Dr
Los Altos, CA 94024-5401
Phone (650) 948-1002
Other providers in Los Altos, CA
- Susan Trese Bernadett
- Maria-Pilar Bernal
- Bhanu-Rekha Bhaskar
- Keya Dani Bhuptani
- Mary Kay Bigelow
- Anita Biswal
- Jeanette Elizabeth Bland
- Aimee Blaustein
- Ann Marjorie Bogan
- Diana Bonner
All providers in Los Altos, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.