R. Glenn Kitasoe,DDS,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29329 Issued in CA

Legal business name

R. GLENN KITASOE,DDS,INC.

Practice address

825 Oak Grove Ave
Menlo Park, CA 94025-4434

Phone

(650) 323-5211

NPI assigned

Apr 26, 2007

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. R. Glenn Kitasoe, DDSNPI 1124244611

Title

Dentist

Phone

(650) 323-5211

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• R Glenn Kitasoe, DDS

  • General Practice Dentistry
  • Menlo Park, CA
  • NPI 1124244611
  Authorized official Same address or phone

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1689894198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 OAK GROVE AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254434",
            "telephone_number": "650-323-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OAK GROVE AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254434",
            "telephone_number": "650-323-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. GLENN KITASOE,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "KITASOE",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-323-5211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Quan, O.D.
• Vanessa Quesada Tavares, LVN
• Timothy Quinn, LCSW
• Barbara Quintanilla, RD
• Qurasense, Inc. (Qvin Labs)
• Yekta Bakhtiar Rafaty, D.D.S.
• Nafiseh Rahimzadeh
• Divya Railan, M.D.
• Frank John Rainey, LCSW #27886
• Christina Rama, D.P.T.

• General Practice Dentistry in Menlo Park, CA
• Providers in Menlo Park, 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 Nov 23, 2015; 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.