Organization Active NPI

Rutner Dental

  • Dentist
  • Mountain View, CA
National Provider Identifier
1720113525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33512 Issued in CA
Legal business name
RUTNER DENTAL
Practice address
1040 Grant Rd
103
Mountain View, CA 94040-3200
Phone
(650) 314-0100
Fax
(650) 314-0054
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Rutner, D.D.S.
Title
Owner
Phone
65031401000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 33512 CA Primary

Addresses

Primary practice location

1040 Grant Rd
103
Mountain View, CA 94040-3200

Mailing address

1040 Grant Rd
103
Mountain View, CA 94040-3200
Phone (650) 314-0100

National Provider Directory

National Provider Directory

Locations

1040 Grant Rd
Ste 103
Mountain View, CA 94040
Phone (650) 314-0100

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720113525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 GRANT RD",
            "address_2": "103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403200",
            "telephone_number": "650-314-0100",
            "fax_number": "650-314-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GRANT RD",
            "address_2": "103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403200",
            "telephone_number": "650-314-0100",
            "fax_number": "650-314-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTNER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "65031401000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.